| Debra K Nixon | |
|
11030 Oakmont St Ste 200a Overland Park KS 66210-1100 | |
| (913) 815-0522 | |
| (913) 233-4933 |
| Full Name | Debra K Nixon |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11030 Oakmont St, Overland Park, Kansas |
| Authorized Official Name and Position | Debra K Nixon (OWNER/THERAPIST) |
| Authorized Official Contact | 9132441222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra K Nixon 11030 Oakmont St Ste 200a Overland Park KS 66210-1100 Ph: (913) 815-0522 | Debra K Nixon 11030 Oakmont St Ste 200a Overland Park KS 66210-1100 Ph: (913) 815-0522 |
| NPI Number | 1619426913 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619426913 | NPI | - | NPPES |
| 200546110 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2239 (Kansas) | Primary |
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