Individual
DR. DEXTER DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MDIV, BA,
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA3520
MD
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC17382
MD
Other
Enumeration date
02/25/2025
Last updated
02/16/2026
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