Individual
MS. DIXIE L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
7561 MAIN ST, RALSTON, NE 68127-3981
(402) 884-0621
(402) 884-0851
Mailing address
7561 MAIN ST., RALSTON, NE 68127
(402) 884-0621
(402) 884-0851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
157
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84039
BLUE CROSS
NE
Enumeration date
05/23/2007
Last updated
07/08/2007
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