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NPI Code Detail

MEDICARE: CHRISTINE CAMPANELLA DIXON

MEDICARE: CHRISTINE CAMPANELLA 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
11041C0700XClinical Social WorkerSWC.0000002226CO
21041C0700XClinical Social WorkerPCSW-1188WY

General Provider Information

NPI Number : 1639986847
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CAMPANELLA DIXON
Provider Business Mailing Address
First Line : 2560 BUSINESS PKWY STE A
Second Line :
City : MINDEN
State : NV
Zip : 89423-8961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2260 W TRILBY RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-9650
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 02/03/2026

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Directions to “ CHRISTINE CAMPANELLA DIXON ” Practice Location

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