MR. Garrett Lee Coburn, LCPC

NPI #1750528956 in Kuna, Idaho

Provider Information

NPI Number
1750528956
Entity Type
Individual
Name
MR. Garrett Lee Coburn, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jan 11, 2009
Last Updated
Nov 20, 2009

Practice Location

Address
13500 S. PLEASANT VALLEY RD
City
Kuna
State
Idaho
ZIP Code
83634
Phone
(208) 336-0740

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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