Individual
MS. CARRIE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE C, IDAHO FALLS, ID 83404-8280
(208) 529-5777
(208) 529-5778
Mailing address
244 STEINER AVE, REXBURG, ID 83440-2129
(208) 390-1282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4746
ID
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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