MR. Bevin Jay Modrak, LCPC is a mental health counselor in Boise, ID. MR. Bevin Jay Modrak, LCPC NPI is 1326316514. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
204 S COLE RD
BOISE, ID
ZIP 83709-934
Phone: (208) 319-9786
Fax: (208) 319-7773
The enumeration date for this NPI number is 12/2/2011 and was last updated on 3/29/2023.