Individual
MR. SEAN J NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LMFT, NCC
Contact information
Practice address
1655 W FAIRVIEW AVE, SUITE 115, BOISE, ID 83702-5100
(208) 515-7661
(208) 515-7661
Mailing address
738 W TROPICAL DR, NAMPA, ID 83686-8744
(208) 869-4520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5100
ID
106H00000X
Marriage & Family Therapist
LAMFT-4954
ID
Other
Enumeration date
09/28/2012
Last updated
08/15/2019
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