Individual
DR. STEPHANIE O DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSCP, LMHC
Contact information
Practice address
2176 LAUWILIWILI ST STE 44, KAPOLEI, HI 96707-1881
(808) 285-6230
(888) 233-3453
Mailing address
PO BOX 2744, EWA BEACH, HI 96706-0744
(808) 285-6230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-464
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818966
—
HI
Enumeration date
10/03/2017
Last updated
10/15/2020
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