IndividualActive
Andrew Dickmeyer, BLC, BA
NPI 1922365204 · Mental Health Counselor · Tishomingo, OK
Provider details
- NPI number
- 1922365204
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BLC, BA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
801 E Main St
Tishomingo, OK 73460-2351
Phone: (307) 438-2251
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 142
Ravia, OK 73455-0142
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2012-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.