Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WIXOM, LPC, NCC
Active Sole ProprietorJORDAN WIXOM, LPC, NCC is a Professional Counselor healthcare provider located in BLACKFOOT, Idaho. NPI 1982129177 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BLACKFOOT, ID
Registration Details
- NPI Number
- 1982129177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2017 (8.9971156961985 yrs)
- Last Updated
- Jul 21, 2022
- License
-
LPC-6568 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 RICH LNBLACKFOOT, ID, 832213950Browse ID providers · Browse ZIP 83221
- Phone
- 2086803322
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| BRITTANY JEAN ANDERSON | — | 1730514126 |
| DELYN D PORTER | — | 1477106854 |
| BRIANNE SCOTT | — | 1265035836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.