Individual
MR. GARY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
509 W 9TH ST, HOPKINSVILLE, KY 42240-2133
(270) 886-1515
(270) 885-9232
Mailing address
509 W 9TH ST, HOPKINSVILLE, KY 42240-2133
(270) 886-1515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
120531
KY
Other
Enumeration date
09/30/2019
Last updated
01/02/2020
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