Organization
SUNHEALTH BEHAVIORAL SYSTEMS FOR BOISE
Active
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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