Individual provider · Type 1 NPI
Brom Glidden, M.A.
Mental Health Counselor · Sandpoint, ID
NPI number
1154694792
Active
Practice location
534 N Center Valley Rd
Sandpoint, ID 83864-7148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCP-4881 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1154694792
Brom Glidden, M.A.'s National Provider Identifier is 1154694792, issued on Feb 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandpoint, ID. The record was last updated on Feb 13, 2012.