Provider Demographics
NPI:1578783387
Name:JONES, DIXIE LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIXIE
Middle Name:LYNN
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 BAINBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5109
Mailing Address - Country:US
Mailing Address - Phone:432-553-4005
Mailing Address - Fax:
Practice Address - Street 1:6010 E HIGHWAY 191 STE 120
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5069
Practice Address - Country:US
Practice Address - Phone:432-553-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health