Mr. Sean J Nixon
Professional Counselor
1655 W Fairview Ave Suite 115
Boise
, Idaho 83702-5100
Mr. Sean J Nixon
Professional Counselor
1655 W Fairview Ave Suite 115
Boise
, Idaho 83702-5100
(208) 869-4520
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mr. Sean J Nixon
- 738 W Tropical Dr
- Nampa, ID
- Zip : 83686-8744
- Phone : (208) 869-4520
Second Address
- Mr. Sean J Nixon
- 1655 W Fairview Ave Suite 115
- Boise, ID
- Zip : 83702-5100
- Fax : (208) 515-7661
- Phone : (208) 515-7661
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | LPC-5100 | ID |
National Provider Identifier
| NPI | 1003167198 |
|---|---|
| Provider Name | Mr. Sean J Nixon |
| First Address | Nampa, ID 83686-8744 |
| Second Address | Boise, ID 83702-5100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2012 |
| Last Update Date | 15/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.