MEDICARE: SABRINA DIXON NCC, LPC

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	101YM0800X	Mental Health Counselor	37PC00836500	NJ
2	101YM0800X	Mental Health Counselor	PC-0011955	DE
3	163W00000X	Registered Nurse	26NR23983000	NJ

General Provider Information

NPI Number	:	1255896395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA DIXON NCC, LPC

Provider Business Mailing Address
First Line	:	2310 INVERNESS DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-6313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 INVERNESS DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-6313
Country	:	US
Telephone Number	:	732-476-7774
Fax Number	:

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

Provider Enumeration Date	:	02/03/2019
Last Update Date	:	03/05/2026

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