MEDICARE: DR. COLETTE MCLEMORE 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		MO

General Provider Information

NPI Number	:	1356294946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLETTE MCLEMORE DIXON

Provider Business Mailing Address
First Line	:	PO BOX 210415
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-8415
Country	:	US
Telephone Number	:	314-766-8428
Fax Number	:

Provider Business Practice Location Address
First Line	:	10922 SCHUETZ RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5704
Country	:	US
Telephone Number	:	314-612-4827
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ DR. COLETTE MCLEMORE DIXON ” Practice Location

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