Provider Demographics
NPI:1770643157
Name:DIXON, ERICA M (LCPC AND LCADC)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:M
Last Name:DIXON
Suffix:
Gender:F
Credentials:LCPC AND LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14440 CHERRY LANE COURT
Mailing Address - Street 2:SUITE 218
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:301-490-1011
Mailing Address - Fax:301-490-1484
Practice Address - Street 1:14440 CHERRY LANE COURT
Practice Address - Street 2:SUITE 218
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:301-490-1011
Practice Address - Fax:301-490-1484
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA308101YA0400X
MDLC1737101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health