Individual
JONATHAN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
9677 MAIN ST # A-B, FAIRFAX, VA 22031-3763
(301) 767-1733
Mailing address
318 N STRATTON ST, GETTYSBURG, PA 17325-1330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001494
VA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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