Individual
MRS. TRACEE LAURA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 539-6557
Mailing address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 539-6557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2971667
ID
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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