Individual
MR. BRETT M. JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
353 E LANDER #201, POCATELLO, ID 83201-6319
(208) 904-3225
(208) 904-3227
Mailing address
15149 W LACEY, POCATELLO, ID 83202-5044
(208) 904-3225
(208) 904-3227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-38601
ID
246ZE0500X
EEG Specialist/Technologist
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Other
Enumeration date
03/20/2007
Last updated
09/09/2025
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