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Rusty O'Leary

NPI 1215155973 · on the registry since 2007

Practice

Address
1305 2nd St S
Suite 201
Nampa, ID 83651
Phone
(208) 463-0202
Fax
(208) 463-0205
Organisation at this address
Human Service Alliance
Human Service Alliance
Human Service Alliance
Human Service Alliance
Mountain States Chemical Dependency And Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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