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Mr. Joseph Lee Dickerson JR., MED
Professional Counselor in Manchester, Connecticut
NPI 1780029165

Joseph Lee Dickerson JR. is a Professional Counselor based in Manchester, CT and is specialized in Professional. Joseph Lee Dickerson JR. practices in Manchester, CT and has the professional credentials of MED. The NPI Number for Joseph Lee Dickerson JR. is 1780029165 and holds a License No. C022013000914 (Connecticut).

The current practice location address for Joseph Lee Dickerson JR. is 872 Vernon St, Manchester, CT and can be reached out via phone at 860-882-9117.

Location: 872 Vernon St, Manchester, CT, 06042-2415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780029165
Provider Name
Joseph Lee Dickerson JR.
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
872 Vernon St, Manchester, CT, 06042-2415
Phone Number
860-882-9117
Fax Number
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
872 Vernon St
City
Manchester
State
Connecticut
Zip
06042-2415
Phone Number
860-882-9117
Fax Number
person
Provider Business Mailing Address Details
Address
872 Vernon St
City
Manchester
State
Connecticut
Zip
06042-2415
Phone Number
860-882-9117
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C022013000914 (Connecticut)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C022013000914 (Connecticut)
Definition
Definition to come...
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