NPI 1003167198

Sean J Nixon, LCPCLMFTNCC

Practitioner Professional Counselor Boise, ID

Practice location

Address: 1655 W Fairview Ave Suite 115, Boise, ID 83702-5100
Phone: (208) 515-7661
Fax: (208) 515-7661
Mailing address: 738 W Tropical Dr, Nampa, ID 83686-8744

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-5100 (ID)

Other Counselor providers in Idaho →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LAMFT-4954 (ID)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1003167198
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2012
Record last updated: 15 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.