JUSTIN DICKERSON
NPI 1720348386
Counselor in Mountain Home, AR
- Individual
- Male
- Counselor
About JUSTIN DICKERSON
This page provides the complete NPI Profile along with additional information for Justin Dickerson, a provider established in Mountain Home, Arkansas with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1720348386 assigned on May 2012. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1720348386 Verify this NPI
- Provider Name
- JUSTIN DICKERSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 315 W 6TH ST MOUNTAIN HOME, AR 72653
- Location Phone
- (870) 425-8642
- Mailing Address
- 602 N WALTON BLVD BENTONVILLE, AR 72712
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2012
- Last Update Date
- 05-16-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720348386, enumerated as an "individual" on May 16, 2012.
The provider is located at 315 W 6TH ST MOUNTAIN HOME, AR 72653 and the phone number is (870) 425-8642.
Counselor with taxonomy code 101Y00000X.
