Gabriana Jewel Dickerson
Individual provider Active NPI Mental Health Counselor · Athol, MA
NPI 1104383462 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1104383462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2033 Main St
Athol, MA 01331-3535 - Phone
- (978) 249-9490
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2033 Main St
Athol, MA 01331-3535
Mailing address
2033 Main St
Athol, MA 01331-3535
Phone (978) 249-9490
Other providers in Athol, MA
- Stephanie Dalton
- Adam C. Darnobid
- Rebecca Davis
- Joyce Ann Dean
- Arissa Devries
- Mary M Djaferis
- Cynthia Dodge
- Robyn Lori Bernstein Donati
- Leanne Elizabeth Dos Santos
- Tracy Dowd
All providers in Athol, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.