JORDAN WIXOM

BLACKFOOT, ID
NPI1982129177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-6568)
Enumeration Date2017-08-08
Last Update Date2022-07-21
Business Address
JORDAN WIXOM LPC, NCC
411 RICH LN
BLACKFOOT, ID 83221-3950
Phone number: 208-680-3322
Mailing Address
JORDAN WIXOM LPC, NCC
411 RICH LN
BLACKFOOT, ID 83221-3950
Phone number: 208-680-3322
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