Provider Demographics
NPI:1144997479
Name:DIXON, ABIGAIL K (LPCA)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:K
Last Name:DIXON
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PARADE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4128
Mailing Address - Country:US
Mailing Address - Phone:305-308-0354
Mailing Address - Fax:
Practice Address - Street 1:75 PARADE HILL RD
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4128
Practice Address - Country:US
Practice Address - Phone:305-308-0354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health