Provider Demographics
NPI:1811239205
Name:DIXON, EMILY RIEHLE (ACMHC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:RIEHLE
Last Name:DIXON
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5667 S REDWOOD RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5433
Mailing Address - Country:US
Mailing Address - Phone:801-979-1351
Mailing Address - Fax:801-569-1857
Practice Address - Street 1:5667 S REDWOOD RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5433
Practice Address - Country:US
Practice Address - Phone:801-979-1351
Practice Address - Fax:801-569-1857
Is Sole Proprietor?:No
Enumeration Date:2013-03-23
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health