SearchIdahoAddiction (Substance Use Disorder) Counselor

James Gump, BS, CADC

NPI 1205699709 · on the registry since 2024

Practice

Address
1720 18th Ave
Lewiston, ID 83501
Phone
(208) 746-4097
Organisation at this address
Phil Waggoner
Riverside Recovery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-06

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