JORDAN WIXOM

IDAHO FALLS, ID
NPI1982129177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-7628)
Enumeration Date2017-08-08
Last Update Date2026-06-04
Business Address
JORDAN WIXOM LPC, NCC
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
Mailing Address
JORDAN WIXOM LPC, NCC
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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