Individual
MS. LATESHA MACHELL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
664 IVY BROOK WAY, MACON, GA 31210-5520
(478) 335-6838
Mailing address
664 IVY BROOK WAY, MACON, GA 31210-5520
(478) 335-6838
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012971
GA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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