Individual
JANAE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1154 S 15TH ST, LOUISVILLE, KY 40210-1567
(804) 605-5318
Mailing address
1154 S 15TH ST, LOUISVILLE, KY 40210-1567
(804) 605-5318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
KY
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
04/16/2026
Last updated
04/18/2026
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