Bryan Leon Gimmeson, LPC
NPI #1609201532 in Cottonwood, Idaho
Provider Information
- NPI Number
- 1609201532
- Entity Type
- Individual
- Name
- Bryan Leon Gimmeson, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 11, 2013
- Last Updated
- Sep 11, 2013
Practice Location
- Address
- 236 RADAR RD
- City
- Cottonwood
- State
- Idaho
- ZIP Code
- 83522-5165
- Phone
- (208) 962-3276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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