| Dickerson Counseling And Therapy Center | |
|
872 Vernon St Manchester CT 06042-2415 | |
| (860) 416-3500 | |
| Not Available |
| Full Name | Dickerson Counseling And Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| 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 And Therapy Center 872 Vernon St Manchester CT 06042-2415 Ph: (860) 416-3500 | Dickerson Counseling And Therapy Center 872 Vernon St Manchester CT 06042-2415 Ph: (860) 416-3500 |
| NPI Number | 1669993663 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669993663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3221 (Connecticut) | Primary |
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