Individual
ELIZABETH NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 MAYFAIR AVE, MYRTLE BEACH, SC 29577
(843) 455-2258
Mailing address
1564 GIBSON AVE, SURFSIDE BEACH, SC 29575
(843) 455-2258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4625
SC
101YP2500X
Professional Counselor
5098
SC
Other
Enumeration date
07/14/2006
Last updated
05/10/2012
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