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General NPI Number Information
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NPI Number | 1326559618
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Entity Type | Individual
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Provider Name | ANNA CHRISTINE DIXON LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 93 N KAINALU DR STE B
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City | KAILUA
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State | HI
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Zip | 96734-2331
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Country | US
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Telephone | 808-909-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 COMMUNITY
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City | CLINTON
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State | MO
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Zip | 64735-8804
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Country | US
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Telephone | 660-885-8131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 25782
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-25782
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2019031590
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-1082
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License Number State | HI
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