Organization
SUNHEALTH BEHAVIORAL SYSTEMS FOR BOISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEANNA MARIE JOHANNSEN LCSW (COUNSELOR)
(208) 327-0504
Entity
Organization
Contact information
Practice address
8050 NORTHVIEW ST, BOISE, ID 83704-7126
(208) 327-0504
(208) 327-0594
Mailing address
8050 NORTHVIEW ST, BOISE, ID 83704-7126
(208) 327-0504
(208) 327-0594
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LCSW
ID
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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