Individual
BREONNA V KRAFFT-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
911 11TH AVE S, NAMPA, ID 83651-4511
(208) 371-9090
Mailing address
911 11TH AVE S, NAMPA, ID 83651-4511
(208) 371-9090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-6256
ID
101YP2500X
Professional Counselor
Primary
LPC-6256
ID
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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