Most Relevant Information
Provider Data
| NPI Number: | 1003527896 |
| Provider Name: | BREONNA V KRAFFT-HARRIS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC-6256 |
Most Important Dates
| Enumeration Date: | 12/12/2022 |
| Last Updated: | 12/12/2022 |
Provider Practice Location
911 11TH AVE S
NAMPA
ID
836514511
Practice Location Phone/Fax
| Phone: | 2083719090 |
| Fax: |
Provider Mailing Location
911 11TH AVE S
NAMPA
ID
836514511
Provider Mailing Phone/Fax
| Phone: | 2083719090 |
| Fax: |