person
Kenneth Willie Dickerson SR.
Prevention Professional in Houston, Texas
NPI 1043744790

Kenneth Willie Dickerson SR. is a Prevention Professional based in Houston, TX. Kenneth Willie Dickerson SR. practices in Houston, TX. The NPI Number for Kenneth Willie Dickerson SR. is 1043744790 and holds a License No. 24512126 (Texas).

The current practice location address for Kenneth Willie Dickerson SR. is 15530 Ella Blvd Apt 719, Houston, TX and can be reached out via phone at 832-892-1079.

Location: 15530 Ella Blvd Apt 719, Houston, TX, 77090-5310
person
Provider Profile Details
NPI Number
1043744790
Provider Name
Kenneth Willie Dickerson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
15530 Ella Blvd Apt 719, Houston, TX, 77090-5310
Phone Number
832-892-1079
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15530 Ella Blvd Apt 719
City
State
Zip
77090
Phone Number
832-892-1079
Fax Number
person
Provider Business Mailing Address Details
Address
15530 Ella Blvd Apt 719
City
State
Zip
77090
Phone Number
832-892-1079
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
24512126 (Texas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
License No.
24512126 (Texas)
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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