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NPI Code Detail

MEDICARE: YVETTE M DIXON LMHC

MEDICARE: YVETTE M DIXON LMHC
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorMH11493FL

General Provider Information

NPI Number : 1164727228
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE M DIXON LMHC
Provider Business Mailing Address
First Line : 34650 US HIGHWAY 19 N STE 206
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2157
Country : US
Telephone Number : 727-565-8468
Fax Number :
Provider Business Practice Location Address
First Line : 34650 US HIGHWAY 19 N STE 206
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2157
Country : US
Telephone Number : 727-565-8468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2011
Last Update Date : 01/24/2022

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Directions to “ YVETTE M DIXON LMHC” Practice Location

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