Wixom Counseling Online
NPI #1942166277 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1942166277
- Entity Type
- Organization
- Organization Name
- Wixom Counseling Online
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 30, 2025
- Last Updated
- Dec 30, 2025
Practice Location
- Address
- 4344 E NIBLEY CIR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3783
- Phone
- (208) 521-4433
Authorized Official
- Name
- MR. BRET V WIXOM, MSW LCSW
- Title
- OWNER
- Phone
- (208) 521-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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