Organization
IME BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA DIXON LCPC, LCADC (CLINICAL THERPIST)
(240) 512-0141
Entity
Organization
Contact information
Practice address
8850 STANFORD BLVD STE 1950, COLUMBIA, MD 21045-4889
(240) 512-0141
(240) 512-0151
Mailing address
8850 STANFORD BLVD STE 1950, COLUMBIA, MD 21045-4889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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