Individual
MR. BRYAN WILLIAM BEDDOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, SCHOOL PSYCH
Contact information
Practice address
226 EVERGREEN DR, BOISE, ID 83716-3024
(208) 890-3787
Mailing address
226 EVERGREEN DR, BOISE, ID 83716-3024
(208) 890-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5105
ID
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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