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Individual

ERIONIA DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC 7620-125

Contact information

Practice address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(414) 246-2300
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3861
WI
101YP2500X
Professional Counselor
Primary
7620
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7620-125
LICENSED PROFESSIONAL COUNSELOR
WI
Enumeration date
09/18/2019
Last updated
08/11/2021
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