Demetrice Hughes Dixon, RSW
Counselor, Mental Health in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1699448704
StatusActive
Last updated in NPPESJul 26, 2021
Details
- NPI
- 1699448704
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Demetrice Hughes Dixon
- Credential
- RSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2021
- Certification date
- Jul 26, 2021
- Last updated
- Jul 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 11371 | LA | Yes |
Practice location
11861 Coursey BlvdBaton Rouge, LA 70816-4404
Phone 225-612-8656
Mailing address
1652 Fountain AveBaton Rouge, LA 70810-6702
Phone 504-401-6675
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