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Kelly Angel Dixon
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1346305075

Kelly Angel Dixon is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Kelly Angel Dixon practices in Fairfield, CA. The NPI Number for Kelly Angel Dixon is 1346305075 and holds a License No. RW0949 (California).

The current practice location address for Kelly Angel Dixon is 1745 Enterprise Dr Bldg 2, Fairfield, CA and can be reached out via phone at 707-427-6640.

Location: 1745 Enterprise Dr Bldg 2, Fairfield, CA, 94590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346305075
Provider Name
Kelly Angel Dixon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1745 Enterprise Dr Bldg 2, Fairfield, CA, 94590
Phone Number
707-427-6640
Fax Number
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1745 Enterprise Dr Bldg 2
City
Fairfield
State
California
Zip
94533-5801
Phone Number
707-427-6640
Fax Number
person
Provider Business Mailing Address Details
Address
1745 Enterprise Dr Bldg 2
City
Fairfield
State
California
Zip
94533-5801
Phone Number
707-427-6640
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.
RW0949 (California)
Definition
Definition to come...
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