Dixon, Andrea Louise

Dixon, Andrea Louise is an sole proprietor health care provider with primary practice located at 200 Ne Missouri Rd Suite 276, Lees Summit MO 64086-4722. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dixon, Andrea Louise can be contacted via phone (816) 875-0276.

Contact Information

Primary practice address
200 Ne Missouri Rd Suite 276 Lees Summit MO 64086-4722
Phone: (816) 875-0276
Fax: (816) 251-5499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2008009702 Missouri

Profile Details

NPI number 1740218700
LBN Legal business name Dixon, Andrea Louise
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Oct 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740218700 NPPES
Missouri Other 2008009702 DIVISION OF PROFESSIONAL REGISTRATION FOR LICENSED PROFESSIONAL COUNSELOR

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