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Individual

BIANCA BAGDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
Mailing address
7537 E TOUSSAND DR, NAMPA, ID 83687-5630

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7461174
ID
101YP2500X
Professional Counselor
Primary
LPC-7461174
ID

Other

Enumeration date
09/09/2024
Last updated
03/23/2026
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