Individual
EDWARD E DICKERHOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.C.C. - S
Contact information
Practice address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
Mailing address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E. 0500701 SUPV
OH
101YM0800X
Mental Health Counselor
Primary
E. 0500701 SUPV
OH
101YP1600X
Pastoral Counselor
E. 0500701 SUPV
OH
101YP2500X
Professional Counselor
E. 0500701 SUPV
OH
Other
Enumeration date
04/16/2010
Last updated
07/29/2010
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