Individual
MRS. TIFFANY ANN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 446-5314
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(754) 465-3105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
M-11195
NM
101YM0800X
Mental Health Counselor
M-11195
NM
104100000X
Social Worker
Primary
M-11195
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M-11195
—
NM
Enumeration date
07/02/2021
Last updated
07/02/2021
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