Dickerson, Joseph Lee

Dickerson, Joseph Lee is an individual health care provider with primary practice located at 872 Vernon St , Manchester CT 06042-2415. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Dickerson, Joseph Lee can be contacted via phone (860) 882-9117.

Contact Information

Primary practice address
872 Vernon St Manchester CT 06042-2415
Phone: (860) 882-9117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C022013000914 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X C022013000914 Connecticut

Profile Details

NPI number 1780029165
LBN Legal business name Dickerson, Joseph Lee
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2013
Last updated Apr 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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