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Organization

BYRON DIXON LLC

Active
Other names
Byron Dixon NCC, LPC, Byron Dixon
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BYRON NICHOLAS DIXON LPC (OWNER)
(208) 371-4587
Entity
Organization

Contact information

Practice address
1219 4TH ST S, NAMPA, ID 83651-4222
(208) 371-4587
(208) 463-3303
Mailing address
1219 4TH ST S, NAMPA, ID 83651-4222
(208) 371-4587
(208) 463-3303

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6465
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043664295
REGENCE BLUE SHIELD OF IDAHO
ID
Enumeration date
06/28/2017
Last updated
07/21/2022
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