MR. Bradley Ross Raburn, LCPC - IDAHO

NPI #1669910790 in Garden Valley, Idaho

Provider Information

NPI Number: 1669910790
Entity Type: Individual
Name: MR. Bradley Ross Raburn, LCPC - IDAHO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC - IDAHO
Enumeration Date: Feb 9, 2017
Last Updated: Dec 3, 2021

Practice Location

Address: 6 TERRACE DR
City: Garden Valley
State: Idaho
ZIP Code: 83622-5272
Phone: (208) 972-3237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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