Individual
NINEKA DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, NCC
Contact information
Practice address
222 PHILADELPHIA PIKE STE 4, WILMINGTON, DE 19809-3166
(404) 272-5488
Mailing address
PO BOX 8075, WILMINGTON, DE 19803-8075
(302) 932-6029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
PC-0000902
DE
Other
Enumeration date
07/11/2018
Last updated
10/10/2019
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