BRIAN TELLERIA LPC NPI 1356747182

NPI Information

NPI: 1356747182
Provider Name: BRIAN TELLERIA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2201 IRONWOOD PL
SUITE 100
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 769-4222
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Brian Telleria, LPC is a professional counselor in Coeur D Alene, ID. Brian Telleria, LPC NPI is 1356747182. 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:

2201 IRONWOOD PL
SUITE 100
COEUR D ALENE, ID
ZIP 83814-670
Phone: (208) 769-4222

The enumeration date for this NPI number is 11/5/2014 and was last updated on 11/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC-5668	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LPC-5668	OTHER	IDAHO	ID LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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