Individual
DYLAN HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
410 S ORCHARD ST STE 220, BOISE, ID 83705-1275
(208) 994-4137
Mailing address
3613 N CAMBORNE ST, BOISE, ID 83704-4516
(208) 861-3134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9602
ID
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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