Individual
BRUCE WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
600 E RIVERPARK LN, STE 200, BOISE, ID 83706-6551
(208) 344-5457
(208) 343-5165
Mailing address
600 E RIVERPARK LN, STE 200, BOISE, ID 83706-6551
(208) 344-5457
(208) 343-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC45
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT3078
ID
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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