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Individual

BRITTANY GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 907-1708
(208) 939-9009
Mailing address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 907-1708
(208) 939-9009

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMFT-6020
ID
106H00000X
Marriage & Family Therapist
LAMFT-5411
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-6020
ID

Other

Enumeration date
11/14/2013
Last updated
04/03/2020
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