Individual
MRS. AMANDA LEE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
21 LAUREL AVE, CORNWALL, NY 12518-1469
(845) 235-2267
Mailing address
495 STANTON TER, POUGHKEEPSIE, NY 12603-1164
(845) 235-2267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005162
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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