Individual
MRS. MARTI DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
15 W MAIN ST, MADISON, OH 44057-3125
(440) 228-2059
Mailing address
4500 LAKE RD. E, GENEVA, OH 44041
(440) 228-2059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8441
OH
Other
Enumeration date
05/17/2007
Last updated
06/20/2012
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