NPI 1053078238

Miklo Jashua Dixon, BHTCNA

Practitioner Case Manager/Care Coordinator Port Angeles, WA

Practice location

Address: 118 E 8th St, Port Angeles, WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493

Registered specialties (4)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1053078238
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2021
Record last updated: 18 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.