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Individual

GRAHAM ANTHONY DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
1018 KAOLO ST, HONOLULU, HI 96825-4139
(432) 352-0097
Mailing address
112 S LORAINE ST STE 307, MIDLAND, TX 79701-5258
(432) 352-0097

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67618
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
67618
TX
101YM0800X
Mental Health Counselor
67618
TX
102L00000X
Psychoanalyst
67618
TX
106H00000X
Marriage & Family Therapist
67618
TX

Other

Enumeration date
01/11/2013
Last updated
08/08/2021
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