BRYAN WAYNE ANDERSON

POCATELLO, ID
NPI1861161432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-09-08
Last Update Date2021-09-08
Business Address
BRYAN WAYNE ANDERSON NCC
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number: 208-242-3771
Mailing Address
BRYAN WAYNE ANDERSON NCC
151 N 3RD AVE STE 330
POCATELLO, ID 83201-6369
Phone number: 208-242-3771
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