Individual
DANIEL MICHAEL NIXON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 ARROWHEAD LOOP, CANADIAN, OK 74425-5012
(562) 844-0174
Mailing address
5338 E EAGLE ST, LONG BEACH, CA 90815-1918
(562) 844-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
08/17/2022
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