CHARLIE DIXON

NEWTON, KS
NPI1760895361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  180)
Enumeration Date2014-06-11
Last Update Date2014-06-11
Business Address
-- CHARLIE DIXON LCAC
710 E 12TH ST
NEWTON, KS 67114-2356
Phone number: 316-283-7829
Mailing Address
-- CHARLIE DIXON LCAC
130 E 5TH ST BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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