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Bryant Judson Kusy, LCPC
Professional Counselor in Eagle, Idaho
NPI 1851696033

Bryant Judson Kusy is a Professional Counselor based in Eagle, ID and is specialized in Professional. Bryant Judson Kusy practices in Eagle, ID and has the professional credentials of LCPC. The NPI Number for Bryant Judson Kusy is 1851696033 and holds a License No. 5488 (Idaho).

The current practice location address for Bryant Judson Kusy is 1243 E Iron Eagle Dr Ste 130D, Eagle, ID and can be reached out via phone at 208-391-7050.

Location: 1243 E Iron Eagle Dr Ste 130D, Eagle, ID, 83616-6599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851696033
Provider Name
Bryant Judson Kusy
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1243 E Iron Eagle Dr Ste 130D, Eagle, ID, 83616-6599
Phone Number
208-391-7050
Fax Number
Provider Enumeration Date
01/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61806854 05 NM
institution
Provider Business Practice Location Address Details
Address
1243 E Iron Eagle Dr Ste 130D
City
Eagle
State
Idaho
Zip
83616-6599
Phone Number
208-391-7050
Fax Number
person
Provider Business Mailing Address Details
Address
1243 E Iron Eagle Dr Ste 130D
City
Eagle
State
Idaho
Zip
83616-6599
Phone Number
208-391-7050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5488 (Idaho)
Definition
Definition to come...
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