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Individual

DIXIE M MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2101 JACOB ST STE 501, WHEELING, WV 26003-3800
(304) 234-8517
(304) 234-8745
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1964
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005456001
WV
01
001712839
MOUNTAIN STATE ID NUMBER
WV
Enumeration date
01/03/2007
Last updated
12/04/2019
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