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Individual

CHET DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2318 PARK AVE, MINNEAPOLIS, MN 55404-3712
(612) 871-7443
(612) 871-0194
Mailing address
551 W LINCOLN RD, NEW RICHMOND, WI 54017-1412
(651) 492-4376

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303942
MN
101YM0800X
Mental Health Counselor
Primary
1389
MN

Other

Enumeration date
03/29/2023
Last updated
03/29/2023
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