Bryant Judson Kusy, LCPC Valid NPI
Individual provider · Professional Counselor · Eagle, ID
- NPI
- 1851696033
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 5488 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-01-19
- Last updated
- 2023-06-05
Practice location
1243 E Iron Eagle Dr Ste 130d
Eagle, ID 83616-6599
(208) 391-7050