Individual
MRS. JEANETTE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7818 HAWK TRL, SAN ANTONIO, TX 78250-4712
(210) 767-8704
(210) 767-8704
Mailing address
7818 HAWK TRL, SAN ANTONIO, TX 78250-4712
(210) 767-8704
(210) 767-8704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095821703
—
TX
Enumeration date
10/12/2006
Last updated
10/14/2011
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