Individual
MR. DALLEN BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 241-8521
Mailing address
1486 CURLEW DR APT 114, AMMON, ID 83406-4770
(208) 241-8521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6282
ID
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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