person
Charles Dickerman, LMFT,CADCIII,SUDP
Marriage & Family Therapist in Portland, Oregon
NPI 1548433261

Charles Dickerman is a Marriage & Family Therapist based in Portland, OR. Charles Dickerman practices in Portland, OR and has the professional credentials of LMFT,CADCIII,SUDP. The NPI Number for Charles Dickerman is 1548433261 and holds a License No. 11-06-19 (Oregon).

The current practice location address for Charles Dickerman is 19500 Se Stark St, Portland, OR and can be reached out via phone at 503-249-3434.

Location: 19500 Se Stark St, Portland, OR, 97233-5757
person
Provider Profile Details
NPI Number
1548433261
Provider Name
Charles Dickerman
Credential
LMFT,CADCIII,SUDP
Provider Entity Type
Individual
Gender
Male
Address
19500 Se Stark St, Portland, OR, 97233-5757
Phone Number
503-249-3434
Fax Number
Provider Enumeration Date
04/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
503-249-3434
Fax Number
person
Provider Business Mailing Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
503-249-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60796757 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
11-06-19 (Oregon)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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