Colton Dickerson
Peer Specialist in Marion, OH. Individual provider (NPI-1).
NPI number1093694119
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1093694119
- Entity type
- Individual (NPI-1)
- Name
- Colton Dickerson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2025
- Certification date
- Sep 2, 2025
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | TY824496 | OH | Yes |
Practice location
1199 Delaware AveMarion, OH 43302-6475
Phone 740-736-2033
Mailing address
254 S High StCaledonia, OH 43314-7723
Phone 567-240-2451
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All 16 Peer Specialist providers in Marion · All 1,541 providers in Marion
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