Individual provider · Type 1 NPI

Thaddyeus Dixon

Mental Health Counselor · Shreveport, LA

NPI number 1679003743 Active

Practice location

2800 Youree Dr Ste 482
Shreveport, LA 71104-3666

Call (318) 869-1899 Map

Mailing address

1015 Sebille Dr
Alexandria, LA 71303-5707

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679003743

Thaddyeus Dixon's National Provider Identifier is 1679003743, issued on Jun 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jun 12, 2017.