SearchIdaho1041C0700X

Joshua Severns, LCSW, ACADC

NPI 1013447671 · on the registry since 2017

Practice

Address
427 N 12th Street
Plummer, ID 83851
Phone
(208) 686-1449
Organisation at this address
Benewah Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
101YA0400X
101YA0400X
171M00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho