Lisa M Brokaw, LPC, NCC

NPI #1104305515 in Meridian, Idaho

Provider Information

NPI Number
1104305515
Entity Type
Individual
Name
Lisa M Brokaw, LPC, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, NCC
Enumeration Date
Aug 8, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
2176 E FRANKLIN RD STE 100
State
Idaho
ZIP Code
83642-8009
Phone
(208) 515-7661

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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