Individual
JASMINE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
350 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1511
(888) 883-8433
Mailing address
1700 ANDREW AVE APT 3B, LA PORTE, IN 46350-5356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004153A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
01/04/2023
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