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Individual

MR. CHARLES DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
321 EAST TREMONT AVE, SUITE 206, BRONX, NY 10457
(718) 518-3712
(718) 518-3710
Mailing address
321 E TREMONT AVE, ROOM 206, BRONX, NY 10457-5304
(718) 518-3712
(718) 518-3710

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10953
NY

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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