Individual
JULIE LYN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
721 MAIN ST, SUITE 100, STEVENSVILLE, MD 21666-4068
(410) 490-6852
(410) 604-3704
Mailing address
200 WYE RD, QUEENSTOWN, MD 21658-1189
(410) 827-5485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3331229 00
—
MD
Enumeration date
07/06/2006
Last updated
12/16/2014
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