Shannon Dickerson
Shannon Dickerson is a Professional Counselor in Fairbanks, Alaska. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
542 4th Ave Ste B101Fairbanks, AK 99701-4707
Phone: (907) 374-1097
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1669037461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2019 |
| Last updated in NPPES | March 6, 2020 |
| Certification date | March 6, 2020 |
| Mailing address | 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 |
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