Individual
REBECCA DACUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13900 W WAINWRIGHT DR STE 101B, BOISE, ID 83713-5028
(208) 615-6463
Mailing address
2418 N VALMET AVE, MERIDIAN, ID 83646-3442
(208) 899-5766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
09/01/2022
Last updated
07/25/2024
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