Individual provider · Type 1 NPI
Joshua Bynum, M.S.
Professional Counselor · Eagle, ID
NPI number
1619323649
Active
Practice location
651 N Eagle Rd
Eagle, ID 83616-5007
Mailing address
544 N Eagle Rd
Eagle, ID 83616-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-6173 (ID) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1619323649
Joshua Bynum, M.S.'s National Provider Identifier is 1619323649, issued on May 9, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eagle, ID. The record was last updated on Apr 5, 2018.