Provider Demographics
NPI:1952543183
Name:RODEN, DIXIE LEE (CADC, ICADC)
Entity Type:Individual
Prefix:MRS
First Name:DIXIE
Middle Name:LEE
Last Name:RODEN
Suffix:
Gender:F
Credentials:CADC, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S. GROVE ST.
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4007
Mailing Address - Country:US
Mailing Address - Phone:828-697-2660
Mailing Address - Fax:828-697-2986
Practice Address - Street 1:120 S. GROVE ST.
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4007
Practice Address - Country:US
Practice Address - Phone:828-697-2660
Practice Address - Fax:828-697-2986
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)