Individual provider · Type 1 NPI
Brooke Taylor Ballenberg, LPC, NCC
Mental Health Counselor · Boise, ID
NPI number
1508649682
Active
Practice location
400 N Benjamin Ln Ste 200
Boise, ID 83704-5094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC-9584 (ID) |
| Mental Health Counselor Primary | 101YM0800X | LPC-9584 (ID) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1508649682
Brooke Taylor Ballenberg, LPC, NCC's National Provider Identifier is 1508649682, issued on Aug 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Aug 16, 2023.