| Mr Larry Bearden, MS | |
|
428 6th Ave, Lewiston, ID 83501-2355 | |
| (208) 799-6500 | |
| (208) 799-6504 |
| Full Name | Mr Larry Bearden |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 428 6th Ave, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043753742 | NPI | - | NPPES |
| 1073885349 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-4986 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Bearden, MS 428 6th Ave, Lewiston, ID 83501-2355 Ph: (208) 799-6500 | Mr Larry Bearden, MS 428 6th Ave, Lewiston, ID 83501-2355 Ph: (208) 799-6500 |
Melinda Ellen Cook, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Miller St, Lewiston, ID 83501 Phone: 208-750-1802 Fax: 208-750-1803 | |
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015 | |
Beverly Lynn Fowler, LPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Main Street, Lewiston, ID 83501 Phone: 208-750-1000 Fax: 208-750-1000 | |
Sara Light Bennett, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294 | |
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685 | |
Crystal Ann Nystrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 Main St, Lewiston, ID 83501 Phone: 208-791-0129 Fax: 208-743-1170 |