Individual
BRANDI E RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 35171
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-38106
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891164018
—
ID
Enumeration date
09/17/2015
Last updated
11/09/2022
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