Individual provider · Type 1 NPI
Maryum Dixon
Mental Health Counselor · Marietta, GA
NPI number
1073457271
Active
Practice location
2471 Old Sewell Rd
Marietta, GA 30068-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | INTERN-STUDENT (GA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | CERTIFIED (GA) |
| Mental Health Counselor Primary | 101YM0800X | INTERN-STUDENT (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1073457271
Maryum Dixon's National Provider Identifier is 1073457271, issued on Apr 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Apr 17, 2026.