Individual
KIZZY HOWARD DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 BELLE PLAINE AVE, LAFAYETTE, LA 70506-9250
(337) 501-1128
Mailing address
206 BELLE PLAINE AVE, LAFAYETTE, LA 70506-9250
(337) 501-1128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4859
LA
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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