Individual provider · Type 1 NPI

Raphilla D. Dixie

Addiction (Substance Use Disorder) Counselor · Fort Wayne, IN

NPI number 1003465873 Active

Practice location

3005 E State Blvd
Fort Wayne, IN 46805-4736

Fax (260) 739-3618

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X87001756A (IN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003465873

Raphilla D. Dixie's National Provider Identifier is 1003465873, issued on Sep 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 3, 2024.