person
Tyra Dixon, LCASA
Mental Health Counselor in Charlotte, North Carolina
NPI 1104266287

Tyra Dixon is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Tyra Dixon practices in Charlotte, NC and has the professional credentials of LCASA. The NPI Number for Tyra Dixon is 1104266287 and holds a License No. 3351-A (North Carolina).

The current practice location address for Tyra Dixon is 1927 J N Pease Pl, Charlotte, NC and can be reached out via phone at 704-247-7742 and via fax at 704-548-9529.

Location: 1927 J N Pease Pl, Charlotte, NC, 28213-4817
person
Provider Profile Details
NPI Number
1104266287
Provider Name
Tyra Dixon
Credential
LCASA
Provider Entity Type
Individual
Gender
Female
Address
1927 J N Pease Pl, Charlotte, NC, 28213-4817
Phone Number
704-247-7742
Fax Number
704-548-9529
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1927 J N Pease Pl
City
State
Zip
28262-4553
Phone Number
704-247-7742
Fax Number
704-548-9529
person
Provider Business Mailing Address Details
Address
1927 J N Pease Pl
City
State
Zip
28262-4553
Phone Number
704-247-7742
Fax Number
704-548-9529
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3351-A (North Carolina)
Definition
Definition to come...
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