Doctor Name: | LINDSEY DIXON |
NPI Number: | 1427414317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701006341 |
Business Practice Address: | 612 North St Ne Coeburn, VA - 242301173 |
Business Phone Number: | 2768703289 |
Business Fax Number: | |
Mailing Address: | Po Box 1173, COEBURN |
State: | VA |
Postal Code: | 242301173 |
Phone Number: | 2768703289 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701006341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |