Wixson, Bruce

Wixson, Bruce is an individual health care provider with primary practice located at 600 E Riverpark Ln Ste 200, Boise ID 83706-6551. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wixson, Bruce can be contacted via phone (208) 344-5457.

Contact Information

Primary practice address
600 E Riverpark Ln Ste 200 Boise ID 83706-6551
Phone: (208) 344-5457
Fax: (208) 343-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC45 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT3078 Idaho

Profile Details

NPI number 1992838114
LBN Legal business name Wixson, Bruce
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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