# DIXIE COLLINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720576390
- **Gender:** F
- **Credential:** LCDCIII

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA163656 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCDCII.161934 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCDCIII.162631 | NULL | Yes |
| 104100000X | Social Worker | W.1900179 | OH | — |

## Other

- **Enumeration date:** 04/28/2018
- **Last updated:** 03/05/2025