Individual provider · Type 1 NPI
Malcolm Malik Dixon
Counselor · Brockton, MA
NPI number
1417468679
Active
Practice location
115 West Chestnut Street
Brockton, MA 02301
Mailing address
219 Pearl St
Fitchburg, MA 01420-2649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1417468679
Malcolm Malik Dixon's National Provider Identifier is 1417468679, issued on Oct 16, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brockton, MA. The record was last updated on Oct 16, 2017.