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

Individual provider Mental Health Counselor · NPI 1588991582

Jeremy Lynn Dicicco is a Mental Health Counselor in Benton, Arkansas. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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Practice location Address checks out

10 Hyten
Benton, AR 72015-3831
Phone: (804) 592-1205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Hyten, Benton, AR 72015-3831 — (804) 592-1205

Specialties & licences

Rehabilitation Counselor (primary) Taxonomy 225C00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1588991582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 11, 2009
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

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