Brom Glidden, M.A.

NPI #1154694792 in Sandpoint, Idaho

Provider Information

NPI Number: 1154694792
Entity Type: Individual
Name: Brom Glidden, M.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: M.A.
Enumeration Date: Feb 13, 2012
Last Updated: Feb 13, 2012

Practice Location

Address: 534 N CENTER VALLEY RD
City: Sandpoint
State: Idaho
ZIP Code: 83864-7148
Phone: (208) 597-0994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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