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Search › Idaho › 1041C0700X

William Slaven, LCSW, CADC

NPI 1235437591 · on the registry since 2011

Practice

Address
1135 Yellowstone Ave
Suite D
Pocatello, ID 83201
Phone
(208) 237-3365
Fax
(208) 232-5423
Organisation at this address
Behavioral Reform Inc
Lighthouse For Recovery, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-09

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