Individual provider · Type 1 NPI

Garrett Lee Coburn, LCPC

Professional Counselor · Kuna, ID

NPI number 1750528956 Active

Practice location

13500 S. Pleasant Valley Rd
Kuna, ID 83634

Call (208) 336-0740 Map

Mailing address

PO Box 14
Kuna, ID 83634-0014

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC 3851 (ID)

Professional Counselor: Definition to come...

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About NPI 1750528956

Garrett Lee Coburn, LCPC's National Provider Identifier is 1750528956, issued on Jan 11, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kuna, ID. The record was last updated on Nov 20, 2009.