MEDICARE: BRITNEY JOURNEE 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
1	101Y00000X	Counselor	LCPC-3793	ID

General Provider Information

NPI Number	:	1912966730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY JOURNEE LCPC

Provider Business Mailing Address
First Line	:	PO BOX 9
Second Line	:	211 16TH AVENUE NORTH
City	:	NAMPA
State	:	ID
Zip	:	83653-0009
Country	:	US
Telephone Number	:	208-467-4431
Fax Number	:	208-467-7684

Provider Business Practice Location Address
First Line	:	6855 W FAIRVIEW AVE
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-8046
Country	:	US
Telephone Number	:	208-323-9600
Fax Number	:	208-466-5359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	04/26/2024

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