person
Lisa M Brokaw, LPC,NCC
Professional Counselor in Meridian, Idaho
NPI 1104305515

Lisa M Brokaw is a Professional Counselor based in Kuna, ID and is specialized in Professional. Lisa M Brokaw practices in Meridian, ID and has the professional credentials of LPC,NCC. The NPI Number for Lisa M Brokaw is 1104305515 and holds a License No. LPC-6942 (Idaho).

The current practice location address for Lisa M Brokaw is 2176 E Franklin Rd Ste 100, Meridian, ID and can be reached out via phone at 208-515-7661.

Location: 2176 E Franklin Rd Ste 100, Meridian, ID, 83634-5004
person
Provider Profile Details
NPI Number
1104305515
Provider Name
Lisa M Brokaw
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
2176 E Franklin Rd Ste 100, Meridian, ID, 83634-5004
Phone Number
208-515-7661
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2176 E Franklin Rd Ste 100
City
State
Zip
83642-8009
Phone Number
208-515-7661
Fax Number
person
Provider Business Mailing Address Details
Address
2176 E Franklin Rd Ste 100
City
State
Zip
83642-8009
Phone Number
208-515-7661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-6942 (Idaho)
Definition
Definition to come...
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