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Individual

DIXIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDCIII

Contact information

Practice address
121 W MULBERRY ST, LANCASTER, OH 43130-3014
(740) 277-7512
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 277-7512

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA163656
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161934
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162631
104100000X
Social Worker
W.1900179
OH

Other

Enumeration date
04/28/2018
Last updated
03/05/2025
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