Redford, Gary Sean

Redford, Gary Sean is an sole proprietor health care provider with primary practice located at 12930 N Rio Vista Rd , Pocatello ID 83202-5007. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Redford, Gary Sean can be contacted via phone (208) 226-6059.

Contact Information

Primary practice address
12930 N Rio Vista Rd Pocatello ID 83202-5007
Phone: (208) 226-6059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-5620 Idaho

Profile Details

NPI number 1962804757
LBN Legal business name Redford, Gary Sean
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2014
Last updated Sep 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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