Individual
BREE DANIELLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4489 N DRESDEN PL STE 102, GARDEN CITY, ID 83714-5004
(208) 321-7360
(208) 906-0811
Mailing address
4489 N DRESDEN PL STE 102, BOISE, ID 83714-5004
(208) 321-7360
(208) 906-0811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC7505
ID
101YP2500X
Professional Counselor
LPC-6680
ID
Other
Enumeration date
10/18/2017
Last updated
07/23/2021
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