MRS. DEBRA L DIXON-HUDAK (NPI# 1942591110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942591110 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA L DIXON-HUDAK |
| Practice Address |
1963 N E St San Bernardino CA 92405 |
| Mailing Address |
1963 N E St San Bernardino CA 92405-3919 |
| Practice Telephone | 9098816146 |
| Practice Fax Number | 9098810111 |
| Mailing Telephone | 9098816146 |
| Mailing Fax Number | 9098813479 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1963 N E ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750506580 | Valarie Fowler | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2007-04-16 |
| 1285245365 | Arleen Catherine Scott | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2020-08-12 |
| 1972133171 | Jasmine A Johnson | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2020-01-16 |
| 1568023877 | Jeffery Burke | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2019-06-26 |
| 1225501729 | Hoyt Marshall | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2019-01-07 |
| 1003319716 | Ashley Guzman | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2018-03-09 |
| 1427560010 | Varyl Veronica Dixon | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2017-11-03 |
| 1114437951 | Jasmin K White | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2017-10-06 |
| 1891220745 | Lakeisha Thedford | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2017-04-28 |
| 1437682820 | Adrian Diaz | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177497 | New Hope Transitional Living | Clinical Nurse Specialist | 1228 West 31st, San Bernardino, CA 92405 | 2019-07-25 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1609385756 | Abraham Isacc Gonzalez | Registered Nurse | 255 W 17th St, San Bernardino, CA 92405 | 2017-09-20 |
| 1962945675 | Ann Marie Monica Clark | Assisted Living Facility | 3524 Acacia Avenue, San Bernardino, CA 92405 | 2016-11-29 |
| 1801265715 | Leslie Del Toro | Counselor | 2025 N D St, San Bernardino, CA 92405 | 2015-09-21 |
| 1558797324 | Nora Escobar-mandujano | Marriage & Family Therapist | 1441 North 'd' Street, San Bernardino, CA 92405 | 2013-09-24 |
| 1295088284 | Elizabeth Rocha | Counselor | 1669 North E Street, San Bernardino, CA 92405 | 2012-10-16 |
| 1972855237 | Vanessa Kelly Gutierrez | Marriage & Family Therapist | 1669 N E Street, San Bernardino, CA 92405 | 2012-10-11 |
| 1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
| 1508167602 | Al Shifa Clinic Incorporated | Voluntary or Charitable | 2334 North Sierra Way, San Bernardino, CA 92405 | 2010-11-06 |
| Find all providers in zip 92405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547229 | Frank R Rivera | Counselor | 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 | 2020-08-04 |
| 1528604501 | Rise Recovery | Counselor | 395 W 17th St, San Bernardino, CA 92405-4409 | 2019-11-25 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1134644115 | Jorge Vasquez | Counselor | 222 W Hospitality Ln, San Bernardino, CA 92415-3536 | 2017-08-10 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1477073377 | Mack William Tolle | Counselor | 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 | 2017-06-21 |
| 1093247215 | Traci Stockham | Counselor | 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 | 2017-03-28 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1770944704 | Cheryl Fox | Counselor | 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 | 2016-03-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92405 |
Please comment or provide details below to improve the information on MRS. DEBRA L DIXON-HUDAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.