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Organization
BYRON DIXON LLC
Active
Organization
BYRON DIXON LLC
Active
Other names
Byron Dixon NCC, LPC, Byron Dixon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON NICHOLAS DIXON LPC (OWNER)
(208) 371-4587
Entity
Organization
Contact information
Practice address
1219 4TH ST S, NAMPA, ID 83651-4222
(208) 371-4587
(208) 463-3303
Mailing address
1219 4TH ST S, NAMPA, ID 83651-4222
(208) 371-4587
(208) 463-3303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6465
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043664295
REGENCE BLUE SHIELD OF IDAHO
ID
Enumeration date
06/28/2017
Last updated
07/21/2022
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