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Brian Mecham, LCSW
NPI 1326300310 · on the registry since 2012
Practice
- Address
- 1165 S Utah Ave
Idaho Falls, ID 83402 - Phone
- (208) 522-6155
- Fax
- (208) 522-6156
- Organisation at this address
- Renaissance Ranch
Throne Of Grace, Llc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho