Provider Demographics
NPI:1669670196
Name:DICKENS, JOYE L (MS)
Entity Type:Individual
Prefix:MS
First Name:JOYE
Middle Name:L
Last Name:DICKENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1407
Mailing Address - Country:US
Mailing Address - Phone:520-360-3018
Mailing Address - Fax:
Practice Address - Street 1:1014 FARMINGTON AVE
Practice Address - Street 2:COUNSELING CENTER OF GREATER HARTFORD
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2105
Practice Address - Country:US
Practice Address - Phone:860-521-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000466OtherLPC