Nixon, Michelle

Nixon, Michelle is an individual health care provider with primary practice located at 32 W Winchester St Ste 101 , Salt Lake City UT 84107-5609. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nixon, Michelle can be contacted via phone (801) 263-6367.

Contact Information

Primary practice address
32 W Winchester St Ste 101 Salt Lake City UT 84107-5609
Phone: (801) 263-6367
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7569606-6004 Utah

Profile Details

NPI number 1760695837
LBN Legal business name Nixon, Michelle
Credentials EDD, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760695837 NPPES
Utah MEDICAID 1760695837

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