Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY ROSS RABURN, LCPC - IDAHO
ActiveMR. BRADLEY ROSS RABURN, LCPC - IDAHO is a Professional Counselor healthcare provider located in GARDEN VALLEY, Idaho. NPI 1669910790 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GARDEN VALLEY, ID
Registration Details
- NPI Number
- 1669910790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2017 (9.3273372885313 yrs)
- Last Updated
- Dec 3, 2021
- Licenses
-
LCPC-6488 (ID)LCPC-6488 (ID)LCPC-6488 (ID)
Practice Information
- Address
-
6 TERRACE DRGARDEN VALLEY, ID, 836225272Browse ID providers · Browse ZIP 83622
- Phone
- 2089723237
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in GARDEN VALLEY, ID
| Name | Credential | NPI |
|---|---|---|
| ASHLEY M ALBRIGHT | LCP | 1699310706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.