Individual provider · Type 1 NPI
Bethany L. Nixon, LPC
Mental Health Counselor · Augusta, GA
NPI number
1508429614
Active
Practice location
4043 Fairfax St
Augusta, GA 30907-2190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC010879 (GA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC010879 (GA) |
| Mental Health Counselor Primary | 101YM0800X | LPC010879 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1508429614
Bethany L. Nixon, LPC's National Provider Identifier is 1508429614, issued on Apr 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Augusta, GA. The record was last updated on Apr 16, 2019.