Individual
RACHEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(208) 478-9081
Mailing address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(208) 478-9081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3661475
ID
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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