Mr. Bevin Jay Modrak, LCPC
Mr. Bevin Jay Modrak, LCPC is a Mental Health Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2011
What do these letters mean?
- LCPC — Licensed Clinical Professional Counselor
- A licensed clinical counsellor.
Practice location Address checks out
204 S Cole RdBoise, ID 83709-0934
Phone: (208) 319-9786
Fax: (208) 319-7773
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LCPC4698 (ID) |
|---|
Record details
| NPI number | 1326316514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPC |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2011 |
| Last updated in NPPES | March 29, 2023 |
| Certification date | March 29, 2023 |
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