Individual
MS. PAULA JEAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMFT
Contact information
Practice address
3607 KOOTENAI ST, BOISE, ID 83705-2250
(208) 899-2242
(208) 338-5440
Mailing address
4060 E CHINDEN BLVD, EAGLE, ID 83616-6481
(208) 899-2242
(208) 377-1171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC 189
ID
101YM0800X
Mental Health Counselor
LCPC 189
ID
101YP2500X
Professional Counselor
Primary
LCPC 189
ID
106H00000X
Marriage & Family Therapist
LMFT 2751
ID
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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