Individual provider · Type 1 NPI

Bryan Wayne Anderson, NCC

Mental Health Counselor · Pocatello, ID

NPI number 1861161432 Active

Practice location

151 N 3rd Ave Ste 330
Pocatello, ID 83201-6369

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861161432

Bryan Wayne Anderson, NCC's National Provider Identifier is 1861161432, issued on Sep 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Sep 8, 2021.