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SHANNON DICKERSON
NPI 1669037461
Counselor - Professional in Fairbanks, AK

Active since May 07, 2019
542 4TH AVE STE B101, FAIRBANKS, AK 99701(907) 374-1097 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2020, May 7, 2019 (2 updates tracked since 2019).

About Shannon Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON DICKERSON (NPI 1669037461) is an individual professional provider in Fairbanks, Alaska and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1669037461
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON DICKERSON
Location Address542 4TH AVE STE B101Fairbanks, AK 99701-4707
Mailing Address542 4th Ave Ste B101Fairbanks, AK 99701-4707 · (907) 374-1097
Phone(907) 374-1097
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateMarch 6, 20202 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1669037461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
542 4TH AVE STE B101, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRA DUNKLEY
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
JEWEL PRESHAW
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
ALICIA DESMOND
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MONIQUE LEYVA
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAWNA R KEITH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MELINDA S PRIDE
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
HAILEY JENKINS
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAUNA MURSCH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Dickerson's NPI number?

The NPI number for Shannon Dickerson is 1669037461. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Shannon Dickerson located?

Shannon Dickerson practices at 542 4th Ave Ste B101, Fairbanks, AK 99701. The listed phone number is (907) 374-1097.

What is Shannon Dickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shannon Dickerson was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.