Provider Demographics
NPI:1972138485
Name:CAMBRA, LESHA RENEE (LCPC)
Entity type:Individual
Prefix:
First Name:LESHA
Middle Name:RENEE
Last Name:CAMBRA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LESHA
Other - Middle Name:
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7950 N HORSESHOE BEND RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-3809
Mailing Address - Country:US
Mailing Address - Phone:208-870-1653
Mailing Address - Fax:
Practice Address - Street 1:7950 HORSESHOE BEND RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83714-3809
Practice Address - Country:US
Practice Address - Phone:208-515-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID8321987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional