| Brom Glidden, MA | |
|
534 N Center Valley Rd, Sandpoint, ID 83864-7148 | |
| (208) 597-0994 | |
| Not Available |
| Full Name | Brom Glidden |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 534 N Center Valley Rd, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154694792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCP-4881 (Idaho) | Primary |
| Entity Name | Glidden Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467002923 PECOS PAC ID: 9032561378 Enrollment ID: O20240123000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Brom Glidden, MA 534 N Center Valley Rd, Sandpoint, ID 83864-7148 Ph: (208) 597-0994 | Brom Glidden, MA 534 N Center Valley Rd, Sandpoint, ID 83864-7148 Ph: (208) 597-0994 |
Ms. Krista N Haller, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N 1st Ave Ste 203, Sandpoint, ID 83864 Phone: 208-946-5242 |
Erin Kathleen Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864 Phone: 208-263-7716 Fax: 208-263-7719 |
Jason Munzke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 513 N 4th Ave, Sandpoint, ID 83864 Phone: 208-255-6803 Fax: 208-263-0951 |
Mary Mikell Zimmerman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864 Phone: 208-597-3553 |
Mrs. Catherine Perusse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Ontario St, Sandpoint, ID 83864 Phone: 208-265-6798 Fax: 208-263-8160 |
Mrs. Julie Ann Brusaw, MA LCPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Baldy Mountain Rd, Sandpoint, ID 83864 Phone: 208-255-9277 Fax: 208-255-1254 |
Jarae Swanstrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1224 Washington Ave Ste 206, Sandpoint, ID 83864 Phone: 208-684-0512 |