Individual
JANICE NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5617 PRINCETON AVE, COLUMBUS, GA 31904-3480
(706) 257-7722
(706) 257-7723
Mailing address
6315 N TYLER CT, COLUMBUS, GA 31909-4232
(912) 532-3889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003989
GA
101YP2500X
Professional Counselor
Primary
LPC004000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700244415
—
GA
Enumeration date
09/16/2008
Last updated
06/02/2020
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