Mr Sean J Nixon, LCPC, LMFT, NCC | |
1655 W Fairview Ave, Suite 115, Boise, ID 83702-5100 | |
(208) 515-7661 | |
(208) 515-7661 |
Full Name | Mr Sean J Nixon |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1655 W Fairview Ave, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003167198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LAMFT-4954 (Idaho) | Secondary |
101YP2500X | Counselor - Professional | LPC-5100 (Idaho) | Primary |
Entity Name | Mana Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366883605 PECOS PAC ID: 1759793490 Enrollment ID: O20210318001570 |
Mailing Address | Practice Location Address |
---|---|
Mr Sean J Nixon, LCPC, LMFT, NCC 738 W Tropical Dr, Nampa, ID 83686-8744 Ph: (208) 869-4520 | Mr Sean J Nixon, LCPC, LMFT, NCC 1655 W Fairview Ave, Suite 115, Boise, ID 83702-5100 Ph: (208) 515-7661 |
Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879 | |
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283 | |
Rachel Marie Piazza Voight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970 | |
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125 | |
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592 | |
Debra Lynne Gallagher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 S Orchard St Ste 290, Boise, ID 83705 Phone: 208-343-2770 | |
Caitlin Hart, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 W Americana Ter Ste 360-e, Boise, ID 83706 Phone: 208-503-1230 |