Healthcare Provider Details
I. General information
NPI: 1790216992
Provider Name (Legal Business Name): BRIAN MORROW LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/21/2017
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
532 THAIN RD
LEWISTON ID
83501-5533
US
IV. Provider business mailing address
1233 SYCAMORE ST
CLARKSTON WA
99403-2240
US
V. Phone/Fax
- Phone: 509-780-3038
- Fax: 208-693-1667
- Phone: 509-780-3038
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | LCPC-8449 |
| License Number State | ID |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LH-61086095 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LCPC-8449 |
| License Number State | ID |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: