KELLY ANGEL DIXON

FAIRFIELD, CA
NPI1346305075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RW0949)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
-- KELLY ANGEL DIXON
1745 ENTERPRISE DR BLDG 2 SUITE I-64
FAIRFIELD, CA 94533-5801
Phone number: 707-427-6640
Mailing Address
-- KELLY ANGEL DIXON
1017 B-CAPITAL STREET
VALLEJO, CA 94590
Phone number: 707-315-8324
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