Individual
BRYAN LANKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(208) 478-9081
Mailing address
1544 SARATOGA ST, POCATELLO, ID 83201-2252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10497
ID
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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