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NPI Code Detail

MEDICARE: DIXIE LEE HINTZ MA LBSW CAADC

MEDICARE: DIXIE LEE HINTZ MA LBSW CAADC
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) Counselor6802081563MI

General Provider Information

NPI Number : 1760829741
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIXIE LEE HINTZ MA LBSW CAADC
Provider Business Mailing Address
First Line : 1044 GILBERT ST
Second Line :
City : FLINT
State : MI
Zip : 48532-3527
Country : US
Telephone Number : 810-422-9406
Fax Number : 810-410-4678
Provider Business Practice Location Address
First Line : 1044 GILBERT ST
Second Line :
City : FLINT
State : MI
Zip : 48532-3527
Country : US
Telephone Number : 810-422-9406
Fax Number : 810-410-4678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 05/30/2013

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