Wixom Counseling INC
NPI #1427571736 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1427571736
- Entity Type
- Organization
- Organization Name
- Wixom Counseling INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4344 E NIBLEY CIR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3783
- Phone
- (208) 521-4433
Authorized Official
- Name
- BRET WIXOM, LCSW
- Title
- OWNER
- Phone
- (208) 643-2832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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