BRUCE WIXSON LCPC NPI 1992838114

NPI Information

NPI: 1992838114
Provider Name: BRUCE WIXSON, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
600 E RIVERPARK LN
STE 200
BOISE, ID
ZIP 83706
Phone: (208) 344-5457
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Bruce Wixson, LCPC is a mental health counselor in Boise, ID. Bruce Wixson, LCPC NPI is 1992838114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 E RIVERPARK LN
STE 200
BOISE, ID
ZIP 83706-551
Phone: (208) 344-5457
Fax: (208) 343-5165

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCPC45	IDAHO	Yes
2	106H00000X	Marriage & Family Therapist		LMFT3078	IDAHO	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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