Dixie Allen, LPC

Individual provider Active NPI Professional Counselor · Ogden, UT

NPI 1013119726 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013119726
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
5118571-6004 (UT)
Practice address
698 12TH St
Ogden, UT 84404-5877
Phone
(801) 621-3466
Fax
(801) 621-8811
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5118571-6004UTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5118571-6004 UT Yes

Addresses

Primary practice location

698 12TH St
Ogden, UT 84404-5877

Mailing address

1406 N 2475 W
Layton, UT 84041-7763
Phone (801) 444-0974

Other providers in Ogden, UT

All providers in Ogden, UT · Professional Counselor in Utah

Sources for this page

Verify at the official NPI Registry.