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General NPI Number Information
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NPI Number | 1013564103
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Entity Type | Individual
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Provider Name | BRAUN INSLEE LMHC, LPC
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Gender | Male
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 421 MEMORIAL DR
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City | POCATELLO
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State | ID
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Zip | 83201-4008
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Country | US
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Telephone | 208-282-2434
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Fax |
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Provider Business Mailing Address
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Address Line | 921 S 8TH AVE STOP 8241
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City | POCATELLO
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State | ID
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Zip | 83209-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9471245
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License Number State | ID
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