LARRY BEARDEN

LEWISTON, ID
NPI1043753742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-4986)
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
Mr. LARRY BEARDEN M.S.
428 6TH AVE
LEWISTON, ID 83501-2355
Phone number: 208-799-6500
Mailing Address
Mr. LARRY BEARDEN M.S.
428 6TH AVE
LEWISTON, ID 83501-2355
Phone number: 208-799-6500
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