Individual provider · Type 1 NPI
Gary Sean Redford, LPC, NCC
Professional Counselor · Pocatello, ID
NPI number
1962804757
Active
Practice location
12930 N Rio Vista Rd
Pocatello, ID 83202-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-5620 (ID) |
Professional Counselor: Definition to come...
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About NPI 1962804757
Gary Sean Redford, LPC, NCC's National Provider Identifier is 1962804757, issued on Sep 23, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Sep 23, 2014.