Individual
MARYUM DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2471 OLD SEWELL RD, MARIETTA, GA 30068-3456
(770) 369-1166
Mailing address
2471 OLD SEWELL RD, MARIETTA, GA 30068-3456
(770) 369-1166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
INTERN-STUDENT
GA
101YM0800X
Mental Health Counselor
Primary
INTERN-STUDENT
GA
171M00000X
Case Manager/Care Coordinator
—
GA
175T00000X
Peer Specialist
CERTIFIED
GA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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