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Avery Bedford, LPC
Mental Health Counselor in Driggs, Idaho
NPI 1528776770

Avery Bedford is a Mental Health Counselor based in Driggs, ID and is specialized in Mental Health. Avery Bedford practices in Driggs, ID and has the professional credentials of LPC. The NPI Number for Avery Bedford is 1528776770 and holds a License No. 9218 (Idaho).

The current practice location address for Avery Bedford is 89 N Main St, Driggs, ID and can be reached out via phone at 307-734-6040.

Location: 89 N Main St, Driggs, ID, 83422-0782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528776770
Provider Name
Avery Bedford
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
89 N Main St, Driggs, ID, 83422-0782
Phone Number
307-734-6040
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
89 N Main St
City
Driggs
State
Idaho
Zip
83422-5164
Phone Number
307-734-6040
Fax Number
person
Provider Business Mailing Address Details
Address
89 N Main St
City
Driggs
State
Idaho
Zip
83422-5164
Phone Number
307-734-6040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
9218 (Idaho)
Definition
Definition to come...
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