Individual
BRITTANY JEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 W BRIDGE ST, BLACKFOOT, ID 83221-2704
(208) 782-2060
(208) 782-0209
Mailing address
PO BOX 1294, BLACKFOOT, ID 83221-1294
(208) 782-2060
(208) 782-0209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5655
ID
Other
Enumeration date
09/05/2013
Last updated
09/02/2014
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