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General NPI Number Information
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NPI Number | 1962716308
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Entity Type | Organization
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Legal Business Name | DIXON PROFESSIONAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 115 WATERLOO DR
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City | ABILENE
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State | TX
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Zip | 79602-2332
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Country | US
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Telephone | 734-649-8263
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Fax | 734-619-6554
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Provider Business Mailing Address
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Address Line | PO BOX 6384
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City | ABILENE
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State | TX
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Zip | 79608-6384
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Country | US
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Telephone | 734-649-8263
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Fax | 734-619-6554
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Authorized Official
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Title or Position | CEO/LPC/MENTAL HEALTH THERAPIST
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Name | TABRINA LA SHAWN DIXON
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Credential |
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Telephone | 734-649-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401007811
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License Number State | MI
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