Individual
SHAMMIKA RENEARA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CANAL ST FL 4, BOSTON, MA 02114-2002
(617) 619-5937
Mailing address
129 FRANKLIN ST APT 106, CAMBRIDGE, MA 02139-4100
(617) 953-4299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
101YM0800X
Mental Health Counselor
—
MA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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