Individual
DANIEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
550 W SUNNYSIDE RD STE 1, IDAHO FALLS, ID 83402-4642
(208) 529-5777
(208) 529-5778
Mailing address
550 W SUNNYSIDE RD STE 1, IDAHO FALLS, ID 83402-4642
(208) 529-5777
(208) 529-5778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5976
ID
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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