Individual provider · Type 1 NPI

Kelly Angel Dixon

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1346305075 Active

Practice location

1745 Enterprise Dr Bldg 2, Suite I-64
Fairfield, CA 94533-5801

Call (707) 427-6640 Map

Mailing address

1017 B-Capital Street
Vallejo, CA 94590

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW0949 (CA)

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

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About NPI 1346305075

Kelly Angel Dixon's National Provider Identifier is 1346305075, issued on Dec 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.