MEDICARE: DMITRA R DANILENKO-DIXON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor	LPC.0016984	CO

General Provider Information

NPI Number	:	1033686688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DMITRA R DANILENKO-DIXON

Provider Business Mailing Address
First Line	:	3773 CHERRY CREEK NORTH DR. SUITE 917E
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-3819
Country	:	US
Telephone Number	:	888-588-8995
Fax Number	:

Provider Business Practice Location Address
First Line	:	3773 E CHERRY CREEK NORTH DR STE 917
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-3819
Country	:	US
Telephone Number	:	888-588-8995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	03/07/2025

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Directions to “ DMITRA R DANILENKO-DIXON ” Practice Location

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