Individual
MR. RANDAL MERRELL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3051 W MAPLE LOOP DR STE 210, LEHI, UT 84043-4602
(801) 872-5516
Mailing address
5965 S 900 E STE 100, MURRAY, UT 84121-1850
(801) 872-5516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C3775
OR
101YM0800X
Mental Health Counselor
Primary
426481-6004
UT
101YM0800X
Mental Health Counselor
LH60522557
WA
390200000X
Student in an Organized Health Care Education/Training Program
4264816009
UT
Other
Enumeration date
01/03/2012
Last updated
04/21/2023
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