Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bradley Ross Raburn, LCPC-IDAHO

Individual provider Professional Counselor · NPI 1669910790

Mr. Bradley Ross Raburn, LCPC-IDAHO is a Professional Counselor in Garden Valley, Idaho. Licensed in Idaho and Oregon. Registered with an NPI since 2017.

Licensed in
ID, OR
In the registry since
2017
Specialties on file
6

Practice location Address checks out

6 Terrace Dr
Garden Valley, ID 83622-5272
Phone: (208) 972-3237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCPC-6488 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence C6001 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCPC-6488 (ID)
Counselor Taxonomy 101Y00000X · Licence C6001 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence C6001 (OR)
Counselor Taxonomy 101Y00000X · Licence LCPC-6488 (ID)

Record details

NPI number1669910790
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC-IDAHO
Sole proprietorNo
NPI enumeratedFebruary 9, 2017
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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