Joshua Brandt Lcsw, Llc | |
5185 W Overland Rd Boise ID 83705-2635 | |
(541) 410-7099 | |
Not Available |
Full Name | Joshua Brandt Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 5185 W Overland Rd, Boise, Idaho |
Authorized Official Name and Position | Joshua Dennis Brandt (MEMBER MANAGER) |
Authorized Official Contact | 5414107099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joshua Brandt Lcsw, Llc 5185 W Overland Rd Boise ID 83705-2635 Ph: () - | Joshua Brandt Lcsw, Llc 5185 W Overland Rd Boise ID 83705-2635 Ph: (541) 410-7099 |
NPI Number | 1073350740 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/11/2024 |
Certification Date | 07/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073350740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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