Isaac B. Deas LMHC
Community Health Worker in Tavares, FL(View on Map)
Full Name
Isaac Benjamin Deas LMHC
NPI Number
1134363203
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/20/2009
Specialties
(Taxonomies)Code
172V00000X
251S00000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
7321
Contact
Information
Purpose
Mailing
Location
Address
385 W ALFRED ST
385 W ALFRED ST
City
Tavares
Tavares
State
FL
FL
Postal Code
32778-3270
32778-3270
Country
US
US
Telephone Number
(352) 406-1264
(352) 406-1264
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/20/2009