BIANCA BAGDON LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1063248961- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 2068 S EAGLE RD, MERIDIAN, ID, 836426707
- Phone
- (208) 340-1688
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-7461174
All Addresses
MAILING
7537 E TOUSSAND DR
NAMPA, ID, 836875630