| Bryan Leon Gimmeson, LPC | |
|
236 Radar Rd, Cottonwood, ID 83522-5165 | |
| (208) 962-3276 | |
| Not Available |
| Full Name | Bryan Leon Gimmeson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 236 Radar Rd, Cottonwood, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609201532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-3905 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Leon Gimmeson, LPC 1902 Lewiston St, Cottonwood, ID 83522-5071 Ph: (208) 962-7217 | Bryan Leon Gimmeson, LPC 236 Radar Rd, Cottonwood, ID 83522-5165 Ph: (208) 962-3276 |
Ms. Bernadette Jamie Rundhaug, MED Counselor Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 | |
Mr. Dean E Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St., Orr Building, Cottonwood, ID 83522 Phone: 208-790-4418 |