Individual provider · Type 1 NPI
Joseph Lee Dickerson Jr., M. ED
Counselor · Manchester, CT
NPI number
1780029165
Active
Practice location
872 Vernon St
Manchester, CT 06042-2415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | C022013000914 (CT) |
| Professional Counselor | 101YP2500X | C022013000914 (CT) |
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.
2 other providers at this address
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About NPI 1780029165
Joseph Lee Dickerson Jr., M. ED's National Provider Identifier is 1780029165, issued on Apr 30, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Manchester, CT. The record was last updated on Apr 30, 2013.