| Dickerson Counseling & Therapy Center | |
|
872 Vernon St Manchester CT 06042-2415 | |
| (860) 416-3500 | |
| Not Available |
| Full Name | Dickerson Counseling & Therapy Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 872 Vernon St, Manchester, Connecticut |
| Authorized Official Name and Position | Joseph Lee Dickerson (CEO) |
| Authorized Official Contact | 8604163500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickerson Counseling & Therapy Center 872 Vernon St Manchester CT 06042-2415 Ph: (860) 416-3500 | Dickerson Counseling & Therapy Center 872 Vernon St Manchester CT 06042-2415 Ph: (860) 416-3500 |
| NPI Number | 1831534213 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831534213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3221 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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