LARRY E DIXON

DELTA, UT
NPI1124266903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  331882-6006)
Enumeration Date2009-02-01
Last Update Date2009-02-01
Business Address
-- LARRY E DIXON L.S.A.C.
58 E MAIN ST STE 7
DELTA, UT 84624-9500
Phone number: 435-979-6372
Mailing Address
-- LARRY E DIXON L.S.A.C.
PO BOX 387
DELTA, UT 84624-0387
Phone number: 435-979-6372