LISA M BROKAW LPC, NCC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1104305515- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC, NCC
- Status
- Active
Contact & Location
- Address
- 2176 E FRANKLIN RD STE 100, MERIDIAN, ID, 836428009
- Phone
- (208) 515-7661
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-6942