Individual
GEORGE H NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2405 W MAIN ST, RICHMOND, VA 23220
(804) 359-8224
(804) 359-3431
Mailing address
2405 W MAIN ST, RICHMOND, VA 23220
(804) 359-8224
(804) 359-3431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088043
ANTHEM BCBS
VA
Enumeration date
07/30/2006
Last updated
07/08/2007
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