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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA M BROKAW, LPC, NCC

Active Sole Proprietor

LISA M BROKAW, LPC, NCC is a Professional Counselor healthcare provider located in MERIDIAN, Idaho. NPI 1104305515 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MERIDIAN, ID

Registration Details

NPI Number
1104305515
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2018 (7.9771412489138 yrs)
Last Updated
Aug 8, 2018
License
LPC-6942 (ID)
Sole Proprietor
Yes

Practice Information

Address
2176 E FRANKLIN RD STE 100
MERIDIAN, ID, 836428009
Browse ID providers · Browse ZIP 83642
Phone
2085157661
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in MERIDIAN, ID

Name Credential NPI
MR. VICTOR WAYNE DURNIL LCPC 1528027182
LAURA MARIE WILLIAMS MA 1437192515
STEVE THAXTON LCPC 1578676813
MRS. JENNIE PATRICIA HAZEN L.C.P.C. 1033209796
MR. JAMES MICHAEL SEEHOF MS, LCPC, LMFT 1356417265
MS. MELISSA JANE MEE LCPC 1720143977
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.