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NPI Code Detail

MEDICARE: ALEXIS DANIELLE DIXON MS

MEDICARE: ALEXIS DANIELLE DIXON MS
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
1101YP2500XProfessional Counselor800WV

General Provider Information

NPI Number : 1851090096
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DANIELLE DIXON MS
Provider Business Mailing Address
First Line : 201 N GEORGE ST STE 200
Second Line :
City : CHARLES TOWN
State : WV
Zip : 25414-1574
Country : US
Telephone Number : 304-886-2154
Fax Number :
Provider Business Practice Location Address
First Line : 201 N GEORGE ST STE 200
Second Line :
City : CHARLES TOWN
State : WV
Zip : 25414-1574
Country : US
Telephone Number : 304-886-2154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 02/27/2023

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