Individual provider · Type 1 NPI
Bryan Leon Gimmeson, LPC
Professional Counselor · Cottonwood, ID
NPI number
1609201532
Active
Practice location
236 Radar Rd
Cottonwood, ID 83522-5165
Mailing address
1902 Lewiston St
Cottonwood, ID 83522-5071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-3905 (ID) |
Professional Counselor: Definition to come...
Other professional counselor providers in Cottonwood
About NPI 1609201532
Bryan Leon Gimmeson, LPC's National Provider Identifier is 1609201532, issued on Sep 11, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cottonwood, ID. The record was last updated on Sep 11, 2013.