Brigham, Brandie

Brigham, Brandie is an sole proprietor health care provider with primary practice located at 1910 N. Lakes Place , Meridian ID 83642. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brigham, Brandie can be contacted via phone (208) 342-2273.

Contact Information

Primary practice address
1910 N. Lakes Place Meridian ID 83642
Phone: (208) 342-2273
Fax: (208) 893-5484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-2770 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-2771 Idaho

Profile Details

NPI number 1942484944
LBN Legal business name Brigham, Brandie
Credentials LCPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942484944 NPPES
Idaho Other 000010157138 REGENCE BLUE SHEILD

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