Individual
KISHA A DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
2053 POWERS FERRY RD, MARIETTA, GA 30067-9675
(678) 523-7995
Mailing address
1323 HIGHWAY 54 E, FAYETTEVILLE, GA 30214-4356
(678) 523-7995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005893
GA
Other
Enumeration date
10/17/2010
Last updated
10/17/2010
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