| Byron Dixon Ncc, Lpc | |
|
1219 4th St S Nampa ID 83651-4222 | |
| (208) 371-4587 | |
| (208) 463-3303 |
| Full Name | Byron Dixon Ncc, Lpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1219 4th St S, Nampa, Idaho |
| Authorized Official Name and Position | Byron Nicholas Dixon (OWNER) |
| Authorized Official Contact | 2083714587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Dixon Ncc, Lpc 1219 4th St S Nampa ID 83651-4222 Ph: (208) 371-4587 | Byron Dixon Ncc, Lpc 1219 4th St S Nampa ID 83651-4222 Ph: (208) 371-4587 |
| NPI Number | 1467973586 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467973586 | NPI | - | NPPES |
| 1043664295 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-6465 (Idaho) | Primary |
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