Brusaw, Julie Ann

Brusaw, Julie Ann is an sole proprietor health care provider with primary practice located at 1035 Baldy Mountain Rd , Sandpoint ID 83864-9250. 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. Brusaw, Julie Ann can be contacted via phone (208) 255-9277.

Contact Information

Primary practice address
1035 Baldy Mountain Rd Sandpoint ID 83864-9250
Phone: (208) 255-9277
Fax: (208) 255-1254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-2639 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-2640 Idaho

Profile Details

NPI number 1053494443
LBN Legal business name Brusaw, Julie Ann
Credentials MA LCPC LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1053494443 NPPES
Idaho Other Q3261 BLUE CROSS
Idaho Other 154413 BLUE CROSS
Idaho Other 0000101038597 BLUE CROSS
Idaho Other 154413 BLUE CROSS

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