Individual
MCKINLEY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(541) 805-5226
Mailing address
2116 S DOROTHY AVE, BOISE, ID 83706-4410
(541) 805-5226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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