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NPI Code Detail

MEDICARE: BRIEANN EMFIELD LCPC

MEDICARE: BRIEANN EMFIELD LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLCPC-5758ID
2101YP2500XProfessional CounselorLPC5069ID
3101Y00000XCounselorLCPC-5758ID

General Provider Information

NPI Number : 1588910038
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIEANN EMFIELD LCPC
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 6348 W EMERALD ST
Second Line :
City : BOISE
State : ID
Zip : 83704-8732
Country : US
Telephone Number : 208-302-0900
Fax Number : 208-302-0955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2012
Last Update Date : 06/20/2024

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