Organization
DEAN COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS A DEAN LCSW (OWNER)
(208) 680-6488
Entity
Organization
Contact information
Practice address
2635 CHANNING WAY, SUITE B, IDAHO FALLS, ID 83404-7518
(208) 680-6488
(208) 523-8978
Mailing address
3820 E 180 N, RIGBY, ID 83442-5775
(208) 680-6488
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27235
ID
Other
Enumeration date
09/23/2014
Last updated
10/27/2014
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