Individual provider · Type 1 NPI

Tabatha Dickerson

Counselor · Lakewood, OH

NPI number 1679073993 Active

Practice location

1384 W 117th St
Lakewood, OH 44107-3011

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679073993

Tabatha Dickerson's National Provider Identifier is 1679073993, issued on Feb 13, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakewood, OH. The record was last updated on Feb 13, 2018.