Provider Demographics
NPI:1659037570
Name:DIXON, SHAMERYL JASMINE (ALC)
Entity Type:Individual
Prefix:MISS
First Name:SHAMERYL
Middle Name:JASMINE
Last Name:DIXON
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
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Mailing Address - Street 1:3929 AIRPORT BOULEVARD
Mailing Address - Street 2:BUILDING 3, SUITE 310
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609
Mailing Address - Country:US
Mailing Address - Phone:251-414-3599
Mailing Address - Fax:251-217-4624
Practice Address - Street 1:3929 AIRPORT BOULEVARD
Practice Address - Street 2:BUILDING 3, SUITE 310
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609
Practice Address - Country:US
Practice Address - Phone:251-414-3599
Practice Address - Fax:251-217-4624
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor