Basic Information
| Provider Information | |||||||||
| NPI: | 1902125891 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DIXON | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 S. COOPER ST. | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381043916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018444357 | ||||||||
| FaxNumber: | 9018444357 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 S COOPER ST | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381045611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018444357 | ||||||||
| FaxNumber: | 9018444357 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 2571 | TN | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.