Individual
ANGELA BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
380 W STATE ST, EAGLE, ID 83616-4902
(406) 570-4698
Mailing address
380 W STATE ST, EAGLE, ID 83616-4902
(406) 570-4698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-10185
ID
Other
Enumeration date
06/17/2020
Last updated
02/02/2024
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