person
Raphilla D Dixie
Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana
NPI 1003465873

Raphilla D Dixie is an Addiction (Substance Use Disorder) Counselor based in Fort Wayne, IN and is specialized in Addiction (Substance Use Disorder). Raphilla D Dixie practices in Fort Wayne, IN. The NPI Number for Raphilla D Dixie is 1003465873 and holds a License No. 87001756A (Indiana).

The current practice location address for Raphilla D Dixie is 3005 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-267-9498 and via fax at 260-739-3618.

Location: 3005 E State Blvd, Fort Wayne, IN, 46805-4736
person
Provider Profile Details
NPI Number
1003465873
Provider Name
Raphilla D Dixie
Credential
Provider Entity Type
Individual
Gender
Female
Address
3005 E State Blvd, Fort Wayne, IN, 46805-4736
Phone Number
260-267-9498
Fax Number
260-739-3618
Provider Enumeration Date
09/05/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3005 E State Blvd
City
State
Zip
46805-4736
Phone Number
260-267-9498
Fax Number
260-739-3618
person
Provider Business Mailing Address Details
Address
3005 E State Blvd
City
State
Zip
46805-4736
Phone Number
260-267-9498
Fax Number
260-739-3618
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
87001756A (Indiana)
Definition
Definition to come...
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