person
Tabatha Dickerson
Counselor in Lakewood, Ohio
NPI 1679073993

Tabatha Dickerson is a Counselor based in Lakewood, OH. Tabatha Dickerson practices in Lakewood, OH. The NPI Number for Tabatha Dickerson is 1679073993 and holds a License No. (Ohio).

The current practice location address for Tabatha Dickerson is 1384 W 117Th St, Lakewood, OH and can be reached out via phone at 216-221-7588.

Location: 1384 W 117Th St, Lakewood, OH, 44107-3011
person
Provider Profile Details
NPI Number
1679073993
Provider Name
Tabatha Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1384 W 117Th St, Lakewood, OH, 44107-3011
Phone Number
216-221-7588
Fax Number
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 05 OH
institution
Provider Business Practice Location Address Details
Address
1384 W 117Th St
City
State
Zip
44107-3011
Phone Number
216-221-7588
Fax Number
person
Provider Business Mailing Address Details
Address
1384 W 117Th St
City
State
Zip
44107-3011
Phone Number
216-221-7588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Ohio)
Definition
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.
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