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Individual
TANISHA L. PERINE-DIXON
Active
Individual
TANISHA L. PERINE-DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
110327
OH
101YP2500X
Professional Counselor
C.1000454
OH
101YP2500X
Professional Counselor
Primary
E.2001829
OH
Other
Enumeration date
09/08/2011
Last updated
08/17/2020
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