Individual
DR. EVERETT T DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
216 S UNION ST, WILMINGTON, DE 19805-3857
(301) 391-0508
Mailing address
216 S UNION ST, WILMINGTON, DE 19805-3857
(302) 391-0508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00708500
NJ
101YM0800X
Mental Health Counselor
7934-MH-CC
MA
101YM0800X
Mental Health Counselor
Primary
PC0000911
DE
101YP2500X
Professional Counselor
PC007573
PA
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/06/2007
Last updated
04/14/2022
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