Individual
TARA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 412-6709
Mailing address
816 SHADY LAKE PKWY, BATON ROUGE, LA 70810-4330
(225) 226-5947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6906
LA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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