Individual
DIXIE RENEE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Mailing address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2007040
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242686719
—
AR
Enumeration date
09/13/2018
Last updated
05/30/2024
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