person
Jay Dickinson, MA,LPC
Professional Counselor in Philadelphia, Pennsylvania
NPI 1619095163

Jay Dickinson is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Jay Dickinson practices in Philadelphia, PA and has the professional credentials of MA,LPC. The NPI Number for Jay Dickinson is 1619095163 and holds a License No. (Pennsylvania).

The current practice location address for Jay Dickinson is 255 S 17Th St Ste 1010, Philadelphia, PA and can be reached out via phone at 610-892-3800 and via fax at 484-468-1412.

Location: 255 S 17Th St Ste 1010, Philadelphia, PA, 19103-6210
person
Provider Profile Details
NPI Number
1619095163
Provider Name
Jay Dickinson
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
255 S 17Th St Ste 1010, Philadelphia, PA, 19103-6210
Phone Number
610-892-3800
Fax Number
484-468-1412
Provider Enumeration Date
03/26/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
255 S 17Th St Ste 1010
City
State
Zip
19103-6210
Phone Number
610-892-3800
Fax Number
484-468-1412
person
Provider Business Mailing Address Details
Address
255 S 17Th St Ste 1010
City
State
Zip
19103-6210
Phone Number
610-892-3800
Fax Number
484-468-1412
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC004833 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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