Bryan Leon Gimmeson, LPC | |
236 Radar Rd, Cottonwood, ID 83522-5165 | |
(208) 962-3276 | |
Not Available |
Full Name | Bryan Leon Gimmeson |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 236 Radar Rd, Cottonwood, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609201532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-3905 (Idaho) | Primary |
Mailing Address | Practice Location Address |
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Bryan Leon Gimmeson, LPC 1902 Lewiston St, Cottonwood, ID 83522-5071 Ph: (208) 962-7217 | Bryan Leon Gimmeson, LPC 236 Radar Rd, Cottonwood, ID 83522-5165 Ph: (208) 962-3276 |
Ms. Bernadette Jamie Rundhaug, MED Counselor Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 | |
Mr. Dean E Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St., Orr Building, Cottonwood, ID 83522 Phone: 208-790-4418 |