Individual
MRS. ANDREA LOUISE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
200 NE MISSOURI RD, SUITE 276, LEES SUMMIT, MO 64086-4722
(816) 875-0276
(816) 251-5499
Mailing address
4422 NE HOIT DR, LEES SUMMIT, MO 64064-1558
(816) 875-0276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2008009702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008009702
DIVISION OF PROFESSIONAL REGISTRATION FOR LICENSED PROFESSIONAL COUNSELOR
MO
Enumeration date
06/29/2006
Last updated
10/09/2015
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