Individual
BRANDIE CHRISTINE DEGROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
824 17TH AVE S STE 11, NAMPA, ID 83651-4781
(208) 249-0432
Mailing address
824 17TH AVE S STE 11, NAMPA, ID 83651-4781
(208) 249-0432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
07/15/2022
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