| Doctor Name: | MR. BRIAN RAYMOND |
| NPI Number: | 1043468903 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW 32132 |
| Business Practice Address: | 5700 E Franklin Rd Ste 220a Nampa, ID - 836877903 |
| Business Phone Number: | 2084751875 |
| Business Fax Number: | |
| Mailing Address: | 4860 Robb St Ste 201, WHEAT RIDGE |
| State: | CO |
| Postal Code: | 800332162 |
| Phone Number: | 3032787418 |
| Fax Number: | 8883415050 |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW 32132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |