Individual
BRIANNA ELISE DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3852 N EAGLE RD, BOISE, ID 83713-0750
(208) 378-0014
Mailing address
3311 W TARGEE ST, BOISE, ID 83705-3348
(208) 869-1525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-9128
ID
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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