SearchIdaho1041C0700X

Christopher Brayton, LCSW

NPI 1649660663 · on the registry since 2015 · sole proprietor

Practice

Address
1553 S Lee Ave
Idaho Falls, ID 83404
Phone
(208) 351-5462

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho