SearchIdahoMental Health Counselor

Rena Bradymire, LPC

NPI 1871930123 · on the registry since 2013

Practice

Address
2201 N Government Way Ste K
Coeur D Alene, ID 83814
Phone
(208) 664-0552
Fax
(209) 262-9698
Organisation at this address
Full Moon Midwifery
Steven T Gatten Dds
Cda Ultrasound, Inc.
Highroad Human Services, Inc.
Highroad Human Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
Mental Health Counselor
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-14

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