SearchIdahoAddiction (Substance Use Disorder) Counselor

Jacob Comstock

NPI 1386039675 · on the registry since 2015 · sole proprietor

Practice

Address
412 W Pacific St
Blackfoot, ID 83221
Phone
(208) 201-1743

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
2015-09-28

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