Organization
BREVITY TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BOSCH LCPC, MAC, QSUDP (OWNER/CLINICIAN)
(509) 609-7550
Entity
Organization
Contact information
Practice address
1809 E SHERMAN AVE, COEUR D ALENE, ID 83814-5873
(208) 680-9042
(877) 471-2556
Mailing address
1809 E SHERMAN AVE, COEUR D ALENE, ID 83814-5873
(208) 680-9042
(877) 471-2556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC
ID
101YM0800X
Mental Health Counselor
LCPC-3663
ID
101YP2500X
Professional Counselor
Primary
LCPC-3663
ID
Other
Enumeration date
09/14/2017
Last updated
04/19/2024
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