Organization
WOLVERINE CANYON COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLEN RAY BELL LCSW (OWNER)
(208) 520-1502
Entity
Organization
Contact information
Practice address
1434 N 615 E, SHELLEY, ID 83274-5077
(208) 520-1502
Mailing address
1434 N 615 E, SHELLEY, ID 83274-5077
(208) 520-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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