Individual provider · Type 1 NPI

Lisa M. Brokaw, LPC, NCC

Professional Counselor · Meridian, ID

NPI number 1104305515 Active

Practice location

849 E Fairview Ave
Meridian, ID 83642-1806

Fax (866) 548-3556

Mailing address

2011 E Laguna Ave
Nampa, ID 83686-4601

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-6942 (ID)

Professional Counselor: Definition to come...

13 other providers at this address

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About NPI 1104305515

Lisa M. Brokaw, LPC, NCC's National Provider Identifier is 1104305515, issued on Aug 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Sep 8, 2026.