Individual
MR. THOMAS BRINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2647 E 14 N, AMMON, ID 83401-2301
(208) 552-1222
Mailing address
1259 N 1120 E, SHELLEY, ID 83274-5170
(208) 200-9545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
35997
ID
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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