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NPI Code Detail

MEDICARE: ALEXIS DENISE HAWKINS-DIXON

MEDICARE: ALEXIS DENISE HAWKINS-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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1437890019
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DENISE HAWKINS-DIXON
Provider Business Mailing Address
First Line : 842 COLUMBIA AVE E
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-5449
Country : US
Telephone Number : 269-753-1710
Fax Number :
Provider Business Practice Location Address
First Line : 842 COLUMBIA AVE E
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-5449
Country : US
Telephone Number : 269-753-1710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/06/2022

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Directions to “ ALEXIS DENISE HAWKINS-DIXON ” Practice Location

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