SearchIdaho101YM0800X

Henry Verdugo, LCSW

NPI 1457530297 · on the registry since 2007 · sole proprietor

Practice

Address
515 Pine St Ste B2
Sandpoint, ID 83864
Phone
(208) 627-8988
Fax
(208) 263-5581
Organisation at this address
Sandpoint Medical Massage And Bodyworks
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-13

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