Doctor Name: | KENYON K DIXON |
NPI Number: | 1124398789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | APC002359 |
Business Practice Address: | 1335 N 5th Street Ext Po Drawer 1348 Cordele, GA - 310153753 |
Business Phone Number: | 2299312470 |
Business Fax Number: | 2299312474 |
Mailing Address: | 415 N Jackson St, AMERICUS |
State: | GA |
Postal Code: | 317093015 |
Phone Number: | 2299312470 |
Fax Number: | 2299312474 |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | APC002359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |