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1578221131
BRANDI CHENOWETH
BOISE, ID
NPI
1578221131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-8526)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-01
Last Update Date
2024-04-30
Business Address
BRANDI CHENOWETH
3501 W ELDER ST
BOISE, ID 83705-4986
Phone number: 208-922-9001
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Mailing Address
BRANDI CHENOWETH
3501 W ELDER ST STE 300
BOISE, ID 83705-4986
Phone number: 208-922-9001
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