Individual
JUSTIN WADDELL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
113 YEARDLEY AVE, LYNCHBURG, VA 24501-3641
(757) 236-4072
Mailing address
113 YEARDLEY AVE, LYNCHBURG, VA 24501-3641
(757) 236-4072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011646
VA
Other
Enumeration date
08/09/2022
Last updated
03/14/2025
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