Individual
MRS. AMANDA MARIE BRENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
135 E CALDERWOOD DR STE 120, MERIDIAN, ID 83642-8337
(208) 870-8943
Mailing address
4513 S DAZZLE AVE, MERIDIAN, ID 83642-4100
(208) 870-8943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9154
ID
Other
Enumeration date
03/01/2019
Last updated
02/09/2024
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