Individual
MR. ANTWAN TAVARIOUS DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2782 N COBB PKWY, KENNESAW, GA 30152-3472
(866) 389-2727
Mailing address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1317
(205) 821-6273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012255
GA
101YP2500X
Professional Counselor
LPC03905
AL
Other
Enumeration date
11/02/2018
Last updated
11/16/2025
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