Individual provider · Type 1 NPI
Edward Dixon Iii, LPC
Professional Counselor · Havertown, PA
NPI number
1679003727
Active
Practice location
1104 Allston Rd
Havertown, PA 19083-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC005670 (PA) |
Professional Counselor: Definition to come...
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About NPI 1679003727
Edward Dixon Iii, LPC's National Provider Identifier is 1679003727, issued on Jun 12, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Havertown, PA. The record was last updated on Jun 12, 2017.