JORDAN WIXOM, LPC, NCC
Counselor - Professional
Active
Individual
NPI: 1982129177
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LPC-6568 (ID) |
Frequently Asked Questions
NPI 1982129177 is the National Provider Identifier for JORDAN WIXOM, LPC, NCC, a Counselor - Professional provider located in Blackfoot, ID. This NPI was enumerated on August 8, 2017.
JORDAN WIXOM, LPC, NCC practices at 411 RICH LN, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1982129177
- Type
- Individual
- Enumerated
- Aug 8, 2017
- Last Updated
- Jul 21, 2022
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