Organization
DICKERSON ENTERPRISE LLC
Active
Other names
Dickerson Counseling and Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEE DICKERSON (OWNER)
(860) 416-3500
Entity
Organization
Contact information
Practice address
872 VERNON ST, MANCHESTER, CT 06042-2415
(860) 416-3500
Mailing address
872 VERNON ST, MANCHESTER, CT 06042-2415
(860) 416-3500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3221
CT
Other
Enumeration date
06/29/2017
Last updated
09/02/2025
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