Individual
JACOB DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(877) 967-5577
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2022
Last updated
12/13/2022
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