institution
Byron Dixon Llc
Mental Health Counselor in Nampa, Idaho
NPI 1467973586

Byron Dixon Llc is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Byron Dixon Llc practices in Nampa, ID. The NPI Number for Byron Dixon Llc is 1467973586 and holds a License No. LPC-6465 (Idaho).

The current practice location address for Byron Dixon Llc is 1219 4Th St S, Nampa, ID and can be reached out via phone at 208-371-4587 and via fax at 208-463-3303.

Location: 1219 4Th St S, Nampa, ID, 83651-4222
institution
Provider Profile Details
NPI Number
1467973586
Provider Name
Byron Dixon Llc
Credential
Provider Entity Type
Organization
Address
1219 4Th St S, Nampa, ID, 83651-4222
Phone Number
208-371-4587
Fax Number
208-463-3303
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043664295 01 ID REGENCE BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
1219 4Th St S
City
State
Zip
83651-4222
Phone Number
208-371-4587
Fax Number
208-463-3303
person
Provider Business Mailing Address Details
Address
1219 4Th St S
City
State
Zip
83651-4222
Phone Number
208-371-4587
Fax Number
208-463-3303
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-6465 (Idaho)
Definition
Definition to come...
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