Organization
EVERGREEN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN WILLIAM BEDDOES LPC (COUNSELOR)
(208) 890-3787
Entity
Organization
Contact information
Practice address
226 EVERGREEN DR, BOISE, ID 83716-3024
(208) 890-3787
(208) 350-4379
Mailing address
226 EVERGREEN DR, BOISE, ID 83716-3024
(208) 890-3787
(208) 350-4379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5105
ID
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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