Individual
LYNDA LEE BRAZEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED CADC
Contact information
Practice address
PO BOX 1611, OROFINO, ID 83544-1611
(208) 476-4440
(208) 476-4441
Mailing address
PO BOX 1611, OROFINO, ID 83544-1611
(208) 476-4440
(208) 476-4441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11752
ID
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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