MRS. DEBRA L DIXON-HUDAK
NPI 1942591110
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
Active since April 22, 2011
About Mrs. Debra L Dixon-hudak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DEBRA L DIXON-HUDAK (NPI 1942591110) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1942591110
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DEBRA L DIXON-HUDAK
Location Address1963 N E STSan Bernardino, CA 92405
Mailing Address1963 N E StSan Bernardino, CA 92405-3919 · (909) 881-6146 · Fax (909) 881-3479
Phone(909) 881-6146
Fax(909) 881-0111
Sole ProprietorNo
Enumeration DateApril 22, 2011
Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration
✔ NPI 1942591110 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1963 N E ST, San Bernardino, CA 92405
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942591110, enumerated as an "individual" on April 22, 2011.
The provider is located at 1963 N E ST SAN BERNARDINO, CA 92405 and the phone number is (909) 881-6146.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).