Individual provider · Type 1 NPI

Stacey Nixon

Mental Health Counselor · Vancouver, WA

NPI number 1770833014 Active

Practice location

309 W 12th St
Vancouver, WA 98660

Mailing address

PO Box 605
Vancouver, WA 98666-0605

Other practice locations

  • 3415 SE Powell Blvd, Portland, OR 97202-3371 · (503) 234-9591

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800X60879023 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1770833014

Stacey Nixon's National Provider Identifier is 1770833014, issued on Sep 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Oct 14, 2020.