person
Zachary Wixom, LMSW
Mental Health Counselor in Idaho Falls, Idaho
NPI 1023507977

Zachary Wixom is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Zachary Wixom practices in Idaho Falls, ID and has the professional credentials of LMSW. The NPI Number for Zachary Wixom is 1023507977 and holds a License No. (Idaho).

The current practice location address for Zachary Wixom is 150 Shoup Ave, Idaho Falls, ID and can be reached out via phone at 208-528-5712.

Location: 150 Shoup Ave, Idaho Falls, ID, 83402-3657
person
Provider Profile Details
NPI Number
1023507977
Provider Name
Zachary Wixom
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
150 Shoup Ave, Idaho Falls, ID, 83402-3657
Phone Number
208-528-5712
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5712
Fax Number
person
Provider Business Mailing Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5712
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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