KAVIN BRANHAM

REXBURG, ID
NPI1427409051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-7894)
Enumeration Date2016-06-24
Last Update Date2024-09-26
Business Address
KAVIN BRANHAM LCPC
72 S 1ST E STE 103
REXBURG, ID 83440-1965
Phone number: 208-356-4900
Mailing Address
KAVIN BRANHAM LCPC
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900