Individual
STEPHANIE LEE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
Mailing address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8331444
ID
Other
Enumeration date
12/06/2017
Last updated
08/27/2025
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