Individual
DEAN STANLEY PIOVESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 769-4222
Mailing address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 769-4222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-5731
ID
101YP2500X
Professional Counselor
Primary
LCPC-6676
ID
Other
Enumeration date
11/18/2014
Last updated
03/17/2018
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