| Renelle Brubaker Counseling Llc | |
|
320 11th Ave S Ste 204 Nampa ID 83651-5074 | |
| (208) 515-7661 | |
| (208) 908-6164 |
| Full Name | Renelle Brubaker Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 320 11th Ave S Ste 204, Nampa, Idaho |
| Authorized Official Name and Position | Renelle Lashae Brubaker (OWNER) |
| Authorized Official Contact | 7753887311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renelle Brubaker Counseling Llc 1750 S Linder Rd Unit E202 Meridian ID 83642-7396 Ph: (775) 388-7311 | Renelle Brubaker Counseling Llc 320 11th Ave S Ste 204 Nampa ID 83651-5074 Ph: (208) 515-7661 |
| NPI Number | 1417550070 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417550070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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