Individual
RICHARD T BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6485 W INTERCHANGE LN STE 101, BOISE, ID 83709-2102
(208) 639-0005
Mailing address
PO BOX 44828, BOISE, ID 83711-0828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8260
ID
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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