Individual
HEATHER L BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMHC
Contact information
Practice address
8620 W EMERALD ST, STE 150, BOISE, ID 83704-4824
(208) 672-2900
(208) 672-2919
Mailing address
2725 N FIVE MILE RD, TRLR 33, BOISE, ID 83713-5389
(208) 559-7824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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