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General NPI Number Information
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NPI Number | 1356726996
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Entity Type | Individual
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Provider Name | ALEXANDRA GRAHAM DIXON M.S., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 1640 POWERS FERRY ROAD SE BUILDING 9, SUITE 100
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 404-491-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BOHLER LN NW
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City | ATLANTA
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State | GA
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Zip | 30327-1102
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Country | US
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Telephone |
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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 | APC004967
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC010256
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License Number State | GA
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