Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY LYNN DICICCO
Active Sole ProprietorJEREMY LYNN DICICCO is a Rehabilitation Counselor healthcare provider located in BENTON, Arkansas. NPI 1588991582 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · BENTON, AR
Registration Details
- NPI Number
- 1588991582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2009 (16.765798373762 yrs)
- Last Updated
- Feb 3, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 HYTENBENTON, AR, 720153831Browse AR providers · Browse ZIP 72015
- Phone
- 8045921205
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
- Additional Specialty
- Rehabilitation Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.