Stephanie Melissa Dixon, LCAS
Counselor, Addiction (Substance Use Disorder) in Fayetteville, NC. Individual provider (NPI-1).
NPI number1164052064
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1164052064
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Melissa Dixon
- Credential
- LCAS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2020
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-26231 | NC | Yes |
Practice location
3427 Melrose RdFayetteville, NC 28304-1608
Phone 910-864-8739 · Fax 910-864-8222
Mailing address
3427 Melrose RdFayetteville, NC 28304-1608
Phone 910-864-8739 · Fax 910-864-8222
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