Julie Ann Brusaw in Sagle - Marriage & Family Therapist
Julie Ann Brusaw - NPI 1053494443
Julie Ann Brusaw is a Marriage & Family Therapist in Sagle, Idaho. Julie Ann Brusaw practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Julie Ann Brusaw is 1053494443. The last update date is 2007-07-08.
Julie Ann Brusaw's current location address is 10561 Sagle Rd, Sagle, Idaho. You can contact this provider via phone number 2082559277 and fax number 2082551254. The mailing address for Julie Ann Brusaw is 10561 Sagle Rd, Sagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Ann Brusaw |
|---|---|
| Address | 10561 Sagle Rd, Sagle, Idaho |
| Phone Number | 2082559277 |
| Fax Number | 2082551254 |
| Sole Proprietor | Y |
| Credentials | MA LCPC L |
NPI Number Detail
| NPI Number | 1053494443 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10561 Sagle Rd |
|---|---|
| City | Sagle |
| State | Idaho (ID) |
| Post Code | 838608836 |
| Phone Number | 2082559277 |
| Fax Number | 2082551254 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT-2640 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q3261 | ID | BLUE CROSS | |
| 154413 | WA | FIRST CHOICE HEALTH | |
| 101038597 | ID | REGENCE BLUE SHIELD | |
| 154413 | CA | MHN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Julie Ann Brusaw by the Centers for Medicare & Medicaid Services?
The Julie Ann Brusaw has been issued the NPI (National Provider Identifier) 1053494443 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Julie Ann Brusaw is physically located?
The Julie Ann Brusaw is physically situated at the following address: 10561 Sagle Rd, Sagle, ID, 838608836.
What is Julie Ann Brusaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Julie Ann Brusaw is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
When did the Julie Ann Brusaw receive its 1053494443?
The Julie Ann Brusaw was issued its 1053494443 on 2006-10-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Julie Ann Brusaw most recently updated or revised?
The information pertaining to Julie Ann Brusaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.