Provider Demographics
NPI:1790991404
Name:DIXON, VALERIE A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:A
Last Name:DIXON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 SILVERTON PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-2215
Mailing Address - Country:US
Mailing Address - Phone:314-647-2881
Mailing Address - Fax:
Practice Address - Street 1:4236 LINDELL BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2948
Practice Address - Country:US
Practice Address - Phone:314-531-1155
Practice Address - Fax:314-531-1170
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist