Janell K Dickson, LPC
Individual provider Active NPI Mental Health Counselor · Dilkon, AZ
NPI 1538697396 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1538697396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 16517 (AZ)
- Practice address
- 1/4 Mile NE of Bashas
Dilkon, AZ 86047 - Phone
- (928) 657-8000
- Fax
- (928) 657-8009
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16517 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dilkon Outpatient Treatment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16517 | AZ | Yes |
Addresses
Primary practice location
1/4 Mile NE of Bashas
Dilkon, AZ 86047
Mailing address
PO Box 7072
Winslow, AZ 86047-7072
Phone (928) 657-8000
Other providers in Dilkon, AZ
- Tracie Baretela
- Frank Crowder
- Dilkon Medical Center
- Dilkon Medical Center Pharmacy
- Hozho Wellness PLLC
- Raymond B. Long
- Winslow Indian Health Care Center, Inc
All providers in Dilkon, AZ · Mental Health Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. 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.