Individual
MRS. JULIE ANN BRUSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCPC LMFT
Contact information
Practice address
1035 BALDY MOUNTAIN RD, SANDPOINT, ID 83864-9250
(208) 255-9277
(208) 255-1254
Mailing address
10561 SAGLE RD, SAGLE, ID 83860-8836
(208) 255-9277
(208) 255-1254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCPC-2639
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-2640
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000101038597
REGENCE BLUE SHIELD
ID
01
—
154413
MHN
CA
01
—
154413
FIRST CHOICE HEALTH
WA
01
—
Q3261
BLUE CROSS
ID
Enumeration date
10/23/2006
Last updated
09/11/2025
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