Organization
OVERCOMER CHRISTIAN COUNSELING
Active
Other names
Overcomer Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON CLARK LCSW (OWNER/THERAPIST)
(208) 746-0137
Entity
Organization
Contact information
Practice address
0309 2ND ST, LEWISTON, ID 83501-2163
(208) 746-0137
(208) 746-8685
Mailing address
0309 2ND ST, LEWISTON, ID 83501-2163
(208) 746-0137
(208) 746-8685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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