Individual
MRS. ANGEANETTE MCCALL NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
223 2ND ST E, SUITE B, TIFTON, GA 31794-4493
(229) 339-3721
(229) 472-9151
Mailing address
PO BOX 1613, TIFTON, GA 31793-1613
(229) 339-3721
(229) 472-9151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006795
006795
GA
Enumeration date
04/19/2012
Last updated
12/01/2015
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