Individual
BRANDI EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 922-9001
Mailing address
3501 W ELDER ST STE 300, BOISE, ID 83705-4986
(208) 922-9001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-8526
ID
101YP2500X
Professional Counselor
Primary
LCPC-10592
ID
Other
Enumeration date
12/01/2021
Last updated
06/25/2025
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