GARY SEAN REDFORD LPC NCC NPI 1962804757

NPI Information

NPI: 1962804757
Provider Name: GARY SEAN REDFORD, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12930 N RIO VISTA RD
POCATELLO, ID
ZIP 83202
Phone: (208) 226-6059
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Gary Sean Redford, LPC, NCC is a professional counselor in Pocatello, ID. Gary Sean Redford, LPC, NCC NPI is 1962804757. 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:

12930 N RIO VISTA RD
POCATELLO, ID
ZIP 83202-007
Phone: (208) 226-6059

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.

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-5620	IDAHO	Yes

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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