Individual
MRS. BREANNA MARIE ZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(323) 205-7088
Mailing address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12167125
WI
101YM0800X
Mental Health Counselor
138166
IA
101YM0800X
Mental Health Counselor
Primary
9881601
ID
101YP2500X
Professional Counselor
Primary
12167125
WI
Other
Enumeration date
05/20/2024
Last updated
05/01/2026
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