Deborah Carson, LCSW
Social Worker, Clinical in Boise, ID. Individual provider (NPI-1).
NPI number1801320254
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1801320254
- Entity type
- Individual (NPI-1)
- Name
- Deborah Carson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2017
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW42193 | ID | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
9474 W Fairview AveBoise, ID 83704-8101
Phone 208-509-0057 · Fax 208-563-2624
Mailing address
8265 Irie LnMiddleton, ID 83644-4802
Phone 208-509-0057
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