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Individual

BRANDIE BRIGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LMFT

Contact information

Practice address
1910 N. LAKES PLACE, MERIDIAN, ID 83642
(208) 342-2273
(208) 893-5484
Mailing address
1910 N. LAKES PLACE, MERIDIAN, ID 83642
(208) 342-2273
(208) 893-5484

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-2770
ID
106H00000X
Marriage & Family Therapist
LMFT-2771
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010157138
REGENCE BLUE SHEILD
ID
Enumeration date
12/27/2007
Last updated
12/27/2007
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