Individual
LYNETTE FAYE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.L.P.C.
Contact information
Practice address
395 TRAVIS BLVD, TROY, MO 63379-2715
(636) 528-1996
(636) 528-1833
Mailing address
893 HIGHWAY DD, DEFIANCE, MO 63341-2007
(314) 838-3384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012041821
MO
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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