Whalio Doctors

NPI 1013533850

Angela Brewster, LCPC

Practitioner Mental Health Counselor Eagle, ID

Practice location

Address
380 W State St, Eagle, ID 83616-4902
Phone
(406) 570-4698

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-10185 (ID)

Registry record

NPI
1013533850
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2020
Record last updated
2 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.