Individual
DEBORAH CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9474 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 509-0057
(208) 563-2624
Mailing address
8265 IRIE LN, MIDDLETON, ID 83644-4802
(208) 509-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW42193
ID
Other
Enumeration date
04/12/2017
Last updated
02/22/2024
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