Individual
EDWARD DIXON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1104 ALLSTON RD, HAVERTOWN, PA 19083-3816
(610) 742-2109
Mailing address
1104 ALLSTON RD, HAVERTOWN, PA 19083-3816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005670
PA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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