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Individual

TRACEY CAROL BRESKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-6531

Contact information

Practice address
410 S ORCHARD ST STE 124, BOISE, ID 83705-1210
(208) 268-8333
(208) 246-6624
Mailing address
410 S ORCHARD ST STE 124, BOISE, ID 83705-1210
(208) 268-8333
(208) 246-6624

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6431
ID

Other

Enumeration date
12/16/2018
Last updated
06/20/2023
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