Individual
MR. DAVID V DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC LMFT
Contact information
Practice address
1300 KIMBERLY RD, SUITE 7B, TWIN FALLS, ID 83301-7881
(208) 736-1636
(208) 735-1656
Mailing address
1300 KIMBERLY RD, SUITE 7B, TWIN FALLS, ID 83301-7881
(208) 736-1636
(208) 735-1656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC2990
ID
101Y00000X
Counselor
LMFT2991
ID
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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