SearchIdahoAddiction (Substance Use Disorder) Counselor

Michonne Pieksma

NPI 1407283393 · on the registry since 2013

Practice

Address
2423 S Georgia Ave
Caldwell, ID 83605
Phone
(208) 455-1788
Fax
(208) 455-2044
Organisation at this address
Carson Legacy Llc
Peak Recovery Llc
Idaho Diagnostic Sleep Lab, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Professional Counselor
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-09

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