Individual
CAROLINE OLIVIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 S 11TH AVE POCATELLO, STE 203, POCATELLO, ID 83201
(208) 346-7500
Mailing address
1215 S 4TH AVE, POCATELLO, ID 83201
(240) 727-7270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8703
ID
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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