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Cody Brown
Mental Health Counselor in Fruitland, Idaho
NPI 1851766976

Cody Brown is a Mental Health Counselor based in Fruitland, ID and is specialized in Mental Health. Cody Brown practices in Fruitland, ID. The NPI Number for Cody Brown is 1851766976 and holds a License No. 5671 (Idaho).

The current practice location address for Cody Brown is 1611 N Whitley Dr, Fruitland, ID and can be reached out via phone at 208-291-1020.

Location: 1611 N Whitley Dr, Fruitland, ID, 83619-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851766976
Provider Name
Cody Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
1611 N Whitley Dr, Fruitland, ID, 83619-2177
Phone Number
208-291-1020
Fax Number
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 N Whitley Dr
City
Fruitland
State
Idaho
Zip
83619-2177
Phone Number
208-291-1020
Fax Number
person
Provider Business Mailing Address Details
Address
1611 N Whitley Dr
City
Fruitland
State
Idaho
Zip
83619-2177
Phone Number
208-291-1020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5671 (Idaho)
Definition
Definition to come...
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