Individual
SOMER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3522 BRIAR CREEK LN, AMMON, ID 83406-4728
(208) 529-1660
Mailing address
3522 BRIAR CREEK LN, AMMON, ID 83406-4728
(208) 529-1660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6841
ID
101YM0800X
Mental Health Counselor
LPC-6385
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518409382
—
ID
05
—
26-3016352
—
ID
Enumeration date
11/10/2016
Last updated
02/19/2019
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