Individual
JAY DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103-6210
(610) 892-3800
(484) 468-1412
Mailing address
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103-6210
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC004833
PA
Other
Enumeration date
03/26/2007
Last updated
11/02/2024
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