IndividualActive
Corey Dixon, LADAC
NPI 1336957067 · Addiction (Substance Use Disorder) Counselor · Texarkana, AR
Provider details
- NPI number
- 1336957067
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADAC
- Sex
- Male
- Sole proprietor
- No
- License
- 505L (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7000 N. Stateline Avenue
Texarkana, AR 71854
Phone: (870) 774-1315
Approximate (ZIP-level) locationGet directions
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Registry dates
- Enumerated
- 2024-12-27
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.