Individual provider · Type 1 NPI

Zachary Wixom, LMSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1023507977 Active

Practice location

150 Shoup Ave
Idaho Falls, ID 83402-3657

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023507977

Zachary Wixom, LMSW's National Provider Identifier is 1023507977, issued on May 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on May 7, 2018.