Individual
SKYLER WIXOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-1459
(208) 426-3005
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-1459
(208) 426-3005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5371946
ID
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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