Individual
ISAAC BENJAMIN DEAS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
385 W ALFRED ST, TAVARES, FL 32778-3270
(352) 406-1264
(352) 343-6115
Mailing address
385 W ALFRED ST, TAVARES, FL 32778-3270
(352) 406-1264
(352) 343-6115
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
7321
FL
251S00000X
Community/Behavioral Health Agency
7321
FL
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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