NPI 1023507977

Zachary Wixom, LMSW

Practitioner Mental Health Counselor Idaho Falls, ID

Practice location

Address: 150 Shoup Ave, Idaho Falls, ID 83402-3657
Phone: (208) 528-5712

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Idaho →

Registry record

NPI: 1023507977
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2018
Record last updated: 7 May 2018

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.