Individual
MICHAEL RAY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV/CO, LCAS
Contact information
Practice address
13037 US HIGHWAY 64 ALT W, ROCKY MOUNT, NC 27801-9774
(252) 442-6587
Mailing address
13037 US HIGHWAY 64 ALT W, ROCKY MOUNT, NC 27801-9774
(252) 442-6587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24431
NC
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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