Individual
JUSTIN MICHAEL NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
9507 N DIVISION ST STE M3, SPOKANE, WA 99218-1554
(503) 877-3351
Mailing address
9507 N DIVISION ST STE M3, SPOKANE, WA 99218-1554
(503) 877-3351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG61441299
WA
175T00000X
Peer Specialist
Primary
CG61441299
WA
Other
Enumeration date
10/02/2024
Last updated
10/25/2024
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