CARSON J BEDKE

BOISE, ID
NPI1205232717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  5624)
Enumeration Date2014-11-10
Last Update Date2014-11-10
Business Address
-- CARSON J BEDKE LPC
4319 W ROSE HILL CT
BOISE, ID 83705-1361
Phone number: 208-681-4186
Mailing Address
-- CARSON J BEDKE LPC
4319 W ROSE HILL CT
BOISE, ID 83705-1361
Phone number: 208-681-4186