Individual
MR. DANIEL JAMES MCISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
(208) 528-2945
Mailing address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7255
ID
101YM0800X
Mental Health Counselor
LPC6277
ID
Other
Enumeration date
08/12/2016
Last updated
04/16/2024
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