Individual
BRANDON WAYNE DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
8950 W EMERALD ST STE 178, BOISE, ID 83704-8296
(208) 376-7083
Mailing address
8950 W EMERALD ST STE 178, BOISE, ID 83704-8296
(208) 376-7083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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