Individual
TARA BIXBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 11TH AVE S STE 205, NAMPA, ID 83651-5074
(208) 546-9520
Mailing address
320 11TH AVE S STE 205, NAMPA, ID 83651-5074
(208) 546-9520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
04/08/2026
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