Individual
NICOLE BIXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1075 MR JOE WHITE AVE UNIT 101, MYRTLE BEACH, SC 29577-5658
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00262300
NJ
1041C0700X
Clinical Social Worker
Primary
14284
SC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/27/2017
Last updated
08/27/2021
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