Individual
BRYAN JOSEPH NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-1122
(616) 956-8033
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 956-1122
(616) 956-8033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012317
MI
Other
Enumeration date
12/08/2009
Last updated
01/31/2011
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