SearchIdaho1041C0700X

Amber Moir-Brow, LCSW, ACADC

NPI 1730423815 · on the registry since 2012 · sole proprietor

Practice

Address
30410 Highway 200
Ponderay, ID 83852
Phone
(208) 946-7333
Fax
(208) 625-2066
Organisation at this address
Ammara, Inc.
Jesstherapy Pllc
Ckam Rejuvenation Center Llc
Boundary Regional Community Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-12

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