person
Charlie Dixon, LCAC
Addiction (Substance Use Disorder) Counselor in Newton, Kansas
NPI 1760895361

Charlie Dixon is an Addiction (Substance Use Disorder) Counselor based in Newton, KS and is specialized in Addiction (Substance Use Disorder). Charlie Dixon practices in Newton, KS and has the professional credentials of LCAC. The NPI Number for Charlie Dixon is 1760895361 and holds a License No. 180 (Kansas).

The current practice location address for Charlie Dixon is 710 E 12Th St, Newton, KS and can be reached out via phone at 316-283-7829 and via fax at 316-283-7449.

Location: 710 E 12Th St, Newton, KS, 67114-2206
person
Provider Profile Details
NPI Number
1760895361
Provider Name
Charlie Dixon
Credential
LCAC
Provider Entity Type
Individual
Gender
Male
Address
710 E 12Th St, Newton, KS, 67114-2206
Phone Number
316-283-7829
Fax Number
316-283-7449
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100106710 C 05 KS
100106710 B 05 KS
institution
Provider Business Practice Location Address Details
Address
710 E 12Th St
City
State
Zip
67114-2356
Phone Number
316-283-7829
Fax Number
316-283-7449
person
Provider Business Mailing Address Details
Address
710 E 12Th St
City
State
Zip
67114-2356
Phone Number
316-283-7829
Fax Number
316-283-7449
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180 (Kansas)
Definition
Definition to come...
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