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Organization

DICKERSON ENTERPRISE LLC

Active
Other names
Dickerson Counseling & Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH LEE DICKERSON JR. LPC (CEO)
(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
101YP2500X
Professional Counselor
Primary
3221
CT
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
04/30/2013
Last updated
07/21/2022
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