Individual
MR. DUSTIN S PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5092 THURSTON ST, CHUBBOCK, ID 83202-2116
(208) 339-4728
Mailing address
5092 THURSTON ST, CHUBBOCK, ID 83202-2116
(208) 339-4728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/30/2010
Last updated
05/11/2022
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