Individual
ANNE MARIE BRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
Mailing address
4035 E 66 N, RIGBY, ID 83442-4906
(435) 730-6088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37988
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW37988
DOPL
ID
Enumeration date
12/11/2018
Last updated
12/11/2018
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