Individual
KIM PECHEOS DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 E GALA ST, MERIDIAN, ID 83642-4800
(208) 955-7333
Mailing address
5774 N PARCHMENT AVE, BOISE, ID 83713-1248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
ID
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
—
ID
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2024
Last updated
07/17/2026
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