Individual
KENYON KENYATTA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6055 LAKESIDE COMMONS DR STE 320, MACON, GA 31210-5791
(478) 238-9344
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2470
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002359
GA
101YP2500X
Professional Counselor
Primary
LPC006899
GA
Other
Enumeration date
01/12/2012
Last updated
02/10/2025
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