Kavin Branham, LCPC

NPI #1427409051 in Rexburg, Idaho

Provider Information

NPI Number
1427409051
Entity Type
Individual
Name
Kavin Branham, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jun 24, 2016
Last Updated
Sep 26, 2024

Practice Location

Address
72 S 1ST E STE 103
State
Idaho
ZIP Code
83440-1965
Phone
(208) 356-4900

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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