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Mrs. Lisa Gail Dixon, SUDP
Addiction (Substance Use Disorder) Counselor in Kennewick, Washington
NPI 1053947507

Lisa Gail Dixon is an Addiction (Substance Use Disorder) Counselor based in Everett, WA and is specialized in Addiction (Substance Use Disorder). Lisa Gail Dixon practices in Kennewick, WA and has the professional credentials of SUDP. The NPI Number for Lisa Gail Dixon is 1053947507 and holds a License No. CP60923722 (Washington).

The current practice location address for Lisa Gail Dixon is 8514 W Gage Blvd Ste G, Kennewick, WA and can be reached out via phone at 509-222-1275.

Location: 8514 W Gage Blvd Ste G, Kennewick, WA, 98204-6430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053947507
Provider Name
Lisa Gail Dixon
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
8514 W Gage Blvd Ste G, Kennewick, WA, 98204-6430
Phone Number
509-222-1275
Fax Number
Provider Enumeration Date
03/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8514 W Gage Blvd Ste G
City
Kennewick
State
Washington
Zip
99336-8108
Phone Number
509-222-1275
Fax Number
person
Provider Business Mailing Address Details
Address
8514 W Gage Blvd Ste G
City
Kennewick
State
Washington
Zip
99336-8108
Phone Number
509-222-1275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60923722 (Washington)
Definition
Definition to come...
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