Individual provider · Type 1 NPI
Tyra Dixon, LCASA
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1104266287
Active
Practice location
1927 J N Pease Pl
Charlotte, NC 28262-4553
Fax (704) 548-9529
Mailing address
3530 Daniel Place Dr
Charlotte, NC 28213-4817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3351-A (NC) |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104266287
Tyra Dixon, LCASA's National Provider Identifier is 1104266287, issued on Jul 3, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Jul 3, 2013.