Raphilla D Dixie
NPI #1003465873 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1003465873
- Entity Type
- Individual
- Name
- Raphilla D Dixie
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 5, 2019
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 3005 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4736
- Phone
- (260) 267-9498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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