Organization
RENELLE BRUBAKER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENELLE LASHAE BRUBAKER LPC (OWNER)
(775) 388-7311
Entity
Organization
Contact information
Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 515-7661
(208) 908-6164
Mailing address
1750 S LINDER RD UNIT E202, MERIDIAN, ID 83642-7396
(775) 388-7311
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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