Provider Demographics
NPI:1396343331
Name:SEEGMILLER, DIXIE HAMP (LPC)
Entity type:Individual
Prefix:
First Name:DIXIE
Middle Name:HAMP
Last Name:SEEGMILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3395 S TERRI DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-7039
Mailing Address - Country:US
Mailing Address - Phone:208-866-4661
Mailing Address - Fax:
Practice Address - Street 1:10740 W FAIRVIEW AVE STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-8050
Practice Address - Country:US
Practice Address - Phone:208-442-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-7387101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional