Gary Sean Redford, LPC, NCC

NPI #1962804757 in Pocatello, Idaho

Provider Information

NPI Number
1962804757
Entity Type
Individual
Name
Gary Sean Redford, LPC, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, NCC
Enumeration Date
Sep 23, 2014
Last Updated
Sep 23, 2014

Practice Location

Address
12930 N RIO VISTA RD
State
Idaho
ZIP Code
83202-5007
Phone
(208) 226-6059

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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