Individual provider · Type 1 NPI
Bradley Ross Raburn, LCPC - IDAHO
Professional Counselor · Garden Valley, ID
NPI number
1669910790
Active
Practice location
6 Terrace Dr
Garden Valley, ID 83622-5272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | C6001 (OR) |
| Mental Health Counselor | 101YM0800X | LCPC-6488 (ID) |
| Counselor | 101Y00000X | C6001 (OR) |
| Professional Counselor Primary | 101YP2500X | LCPC-6488 (ID) |
| Mental Health Counselor | 101YM0800X | C6001 (OR) |
| Counselor | 101Y00000X | LCPC-6488 (ID) |
Professional Counselor: Definition to come...
Other professional counselor providers in Garden Valley
About NPI 1669910790
Bradley Ross Raburn, LCPC - IDAHO's National Provider Identifier is 1669910790, issued on Feb 9, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Garden Valley, ID. The record was last updated on Apr 15, 2026.