person
Mr. William Bradford Lane JR., LPC
Counselor in Pocatello, Idaho
NPI 1124542147

William Bradford Lane JR. is a Counselor based in Pocatello, ID. William Bradford Lane JR. practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for William Bradford Lane JR. is 1124542147 and holds a License No. LPC-6550 (Idaho).

The current practice location address for William Bradford Lane JR. is 409 Washington Ave, Pocatello, ID and can be reached out via phone at 208-234-2646.

Location: 409 Washington Ave, Pocatello, ID, 83201-4520
person
Provider Profile Details
NPI Number
1124542147
Provider Name
William Bradford Lane JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
409 Washington Ave, Pocatello, ID, 83201-4520
Phone Number
208-234-2646
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619177797 05 ID
institution
Provider Business Practice Location Address Details
Address
409 Washington Ave
City
State
Zip
83201-4520
Phone Number
208-234-2646
Fax Number
person
Provider Business Mailing Address Details
Address
409 Washington Ave
City
State
Zip
83201-4520
Phone Number
208-234-2646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPC-6550 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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