Organization
DIXIE STATE UNIVERSITY HEALTH & COUNSELING CENTER
Active
Parent organization
DIXIE STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXIE STATE UNIVERSITY
Authorized official
DYLAN MATSUMORI PH.D. (DIRECTOR)
(435) 652-7756
Entity
Organization
Contact information
Practice address
1037 E 100 S, ST GEORGE, UT 84770-3006
(435) 652-7756
Mailing address
1037 E 100 S, ST GEORGE, UT 84770-3006
(435) 652-7756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1244136008
UT
103T00000X
Psychologist
91334252501
UT
1041C0700X
Clinical Social Worker
1351453501
UT
163W00000X
Registered Nurse
3288013102
UT
261QS1000X
Student Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
50390644405
UT
363L00000X
Nurse Practitioner
7343133-4405
UT
364S00000X
Clinical Nurse Specialist
50390644405
UT
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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