# DIXIE STATE UNIVERSITY HEALTH & COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIXIE STATE UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639693344
- **Legal business name:** DIXIE STATE UNIVERSITY
- **Authorized official:** DYLAN MATSUMORI PH.D. (DIRECTOR)
- **Authorized official phone:** (435) 652-7756

## Contact information

- **Practice address:** 1037 E 100 S, ST GEORGE, UT 84770-3006
- **Practice address phone:** (435) 652-7756
- **Mailing address:** 1037 E 100 S, ST GEORGE, UT 84770-3006
- **Mailing address phone:** (435) 652-7756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1244136008 | UT | — |
| 103T00000X | Psychologist | 91334252501 | UT | — |
| 1041C0700X | Clinical Social Worker | 1351453501 | UT | — |
| 163W00000X | Registered Nurse | 3288013102 | UT | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | 50390644405 | UT | — |
| 363L00000X | Nurse Practitioner | 7343133-4405 | UT | — |
| 364S00000X | Clinical Nurse Specialist | 50390644405 | UT | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 07/21/2022