Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Dickerson

Individual provider Peer Specialist · NPI 1093694119

Colton Dickerson is a Peer Specialist in Marion, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

1199 Delaware Ave
Marion, OH 43302-6475
Phone: (740) 736-2033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence TY824496 (OH)

Record details

NPI number1093694119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address254 S High St, Caledonia, OH 43314-7723

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