BRADLEY ROSS RABURN

GARDEN VALLEY, ID
NPI1669910790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-6488)
Additional Taxonomies101Y00000X Counselor
(Licence: ID  LCPC-6488)
101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-6488)
Enumeration Date2017-02-09
Last Update Date2021-12-03
Business Address
Mr. BRADLEY ROSS RABURN LCPC - Idaho
6 TERRACE DR
GARDEN VALLEY, ID 83622-5272
Phone number: 208-972-3237
Mailing Address
Mr. BRADLEY ROSS RABURN LCPC - Idaho
6 TERRACE DR
GARDEN VALLEY, ID 83622-5272
Phone number: 208-972-3237