Individual
BROOKE CEDARLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N ALLUMBAUGH ST, BOISE, ID 83704-9210
(208) 376-3200
Mailing address
6135 N RIVER GLEN PL, GARDEN CITY, ID 83714-1268
(208) 391-5096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
9381910
ID
Other
Enumeration date
02/23/2024
Last updated
07/20/2026
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