Provider Demographics
NPI:1720965064
Name:ALLIN-GOSS, BRITTANY REBEKKA
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:REBEKKA
Last Name:ALLIN-GOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2137 N DESTINY WAY
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-5600
Mailing Address - Country:US
Mailing Address - Phone:949-525-7280
Mailing Address - Fax:
Practice Address - Street 1:2995 N COLE RD STE 255
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5976
Practice Address - Country:US
Practice Address - Phone:208-614-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1671174101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional