Individual
DEKHARI JOSIAH LIEHL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3046 W ARMITAGE AVE, CHICAGO, IL 60647-5935
(318) 547-1823
Mailing address
3731 W CONCORD PL, CHICAGO, IL 60647-4707
(832) 998-9292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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