Individual
MR. BRUCE F. PAGANO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Contact information
Practice address
1217 3RD ST S STE 103, NAMPA, ID 83651-3917
(208) 606-2783
Mailing address
1217 3RD ST S STE 103, NAMPA, ID 83651-3917
(208) 606-2783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7594
ID
101YP2500X
Professional Counselor
Primary
LPC-7594
ID
101YS0200X
School Counselor
611935432
ID
Other
Enumeration date
09/11/2020
Last updated
07/25/2024
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