Individual
KELEISHA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 SUNSET LN STE 3120, CULPEPER, VA 22701-3398
(540) 399-9970
Mailing address
PO BOX 5612, FREDERICKSBURG, VA 22403-5612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009017
VA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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