IndividualActive
Bruce Wixson, LCPC
NPI 1992838114 · Marriage & Family Therapist · Boise, ID
Provider details
- NPI number
- 1992838114
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- License
- LCPC45 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
600 E Riverpark Ln
Ste 200
Boise, ID 83706-6551
Phone: (208) 344-5457
Fax: (208) 343-5165
Approximate (ZIP-level) locationGet directions
Mailing address
600 E Riverpark Ln
Boise, ID 83706-6551
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.