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Individual
MR. JAWAN ANGEL DICKERSON-ESCOBAR
Active
Individual
MR. JAWAN ANGEL DICKERSON-ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, NCC, CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0100603
FL
101YM0800X
Mental Health Counselor
12299
SC
101YM0800X
Mental Health Counselor
12651
DC
101YM0800X
Mental Health Counselor
IMH26967
FL
101YM0800X
Mental Health Counselor
Primary
MH28040
FL
Other
Enumeration date
11/18/2021
Last updated
07/28/2026
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