person
Kavin Branham, LCPC
Professional Counselor in Rexburg, Idaho
NPI 1427409051

Kavin Branham is a Professional Counselor based in Saint Anthony, ID and is specialized in Professional. Kavin Branham practices in Rexburg, ID and has the professional credentials of LCPC. The NPI Number for Kavin Branham is 1427409051 and holds a License No. LCPC-7894 (Idaho).

The current practice location address for Kavin Branham is 72 S 1St E Ste 103, Rexburg, ID and can be reached out via phone at 208-356-4900 and via fax at 208-624-4030.

Location: 72 S 1St E Ste 103, Rexburg, ID, 83445-0018
person
Provider Profile Details
NPI Number
1427409051
Provider Name
Kavin Branham
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
72 S 1St E Ste 103, Rexburg, ID, 83445-0018
Phone Number
208-356-4900
Fax Number
208-624-4030
Provider Enumeration Date
06/24/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
72 S 1St E Ste 103
City
State
Zip
83440-1965
Phone Number
208-356-4900
Fax Number
208-624-4030
person
Provider Business Mailing Address Details
Address
72 S 1St E Ste 103
City
State
Zip
83440-1965
Phone Number
208-356-4900
Fax Number
208-624-4030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-7894 (Idaho)
Definition
Definition to come...
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