Individual provider · Type 1 NPI
Tanisha Dixon
Mental Health Counselor · Maplewood, NJ
NPI number
1619873502
Active
Practice location
9 Evelyn Ct
Maplewood, NJ 07040-3319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37ACOO669100 (NJ) |
| Mental Health Counselor Primary | 101YM0800X | 37AC00669100 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1619873502
Tanisha Dixon's National Provider Identifier is 1619873502, issued on Oct 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maplewood, NJ. The record was last updated on Oct 16, 2026.