Dixon, Leonard A

Dixon, Leonard A is an individual health care provider with primary practice located at 390 40Th St , Oakland CA 94609-2633. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Dixon, Leonard A can be contacted via phone (510) 653-5040.

Contact Information

Primary practice address
390 40Th St Oakland CA 94609-2633
Phone: (510) 653-5040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871776955
LBN Legal business name Dixon, Leonard A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Apr 3rd, 2014 - about 11 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 1871776955 NPPES
California Other 1922162999 COMMUNITYBEHAVIORALHEALTH

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