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Stephanie Marie Dickerson
Addiction (Substance Use Disorder) Counselor in Dover, Ohio
NPI 1851038608

Stephanie Marie Dickerson is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Stephanie Marie Dickerson practices in Dover, OH. The NPI Number for Stephanie Marie Dickerson is 1851038608 and holds a License No. CDCA.183075 (Ohio).

The current practice location address for Stephanie Marie Dickerson is 115 S Wooster Ave, Dover, OH and can be reached out via phone at 833-510-4357.

Location: 115 S Wooster Ave, Dover, OH, 45212-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851038608
Provider Name
Stephanie Marie Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 S Wooster Ave, Dover, OH, 45212-2600
Phone Number
833-510-4357
Fax Number
Provider Enumeration Date
05/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101M00000X 05 OH
institution
Provider Business Practice Location Address Details
Address
115 S Wooster Ave
City
Dover
State
Ohio
Zip
44622-1944
Phone Number
833-510-4357
Fax Number
person
Provider Business Mailing Address Details
Address
115 S Wooster Ave
City
Dover
State
Ohio
Zip
44622-1944
Phone Number
833-510-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.183075 (Ohio)
Definition
Definition to come...
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