Mixon, Diane
Mixon, Diane is an sole proprietor health care provider with primary practice located at 36 Russell St , New Britain CT 06052-1313. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mixon, Diane can be contacted via phone (860) 223-8885.Contact Information
Primary practice address
36 Russell St
New Britain CT 06052-1313
Phone: (860) 223-8885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000197 | Connecticut |
Profile Details
| NPI number | 1124178462 |
|---|---|
| LBN Legal business name | Mixon, Diane |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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