BREANNA YBELTJE BERGEVIN LMSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1942089636- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 148 S COLE RD, BOISE, ID, 837090932
- Phone
- (208) 683-8320
- Fax
- (208) 969-8380
Specialties & Taxonomies
Counselor, Mental Health
License: ID #45391
Social Worker
Primary License: ID #45391