Organization · Type 2 NPI

Dickerson Enterprise LLC

Professional Counselor · Manchester, CT

NPI number 1831534213 Active

Practice location

872 Vernon St
Manchester, CT 06042-2415

Call (860) 416-3500 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3221 (CT)
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1831534213

Dickerson Enterprise LLC's National Provider Identifier is 1831534213, issued on Apr 30, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchester, CT. The record was last updated on Jul 21, 2022.