Individual
SABRA MARY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSUDC
Contact information
Practice address
591 W 800 N, OREM, UT 84057-3762
(801) 427-9726
Mailing address
3608 N 180 E, PROVO, UT 84604-4566
(801) 427-9726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10181747-6005
UT
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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