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Search › Idaho › Addiction (Substance Use Disorder) Counselor

Kenneth Chandler

NPI 1629205570 · on the registry since 2009

Practice

Address
6138 W Emerald St Ste B
Boise, ID 83704
Phone
(208) 367-3069
Fax
(208) 367-3002
Organisation at this address
St. Alphonsus Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.

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
2009-06-18

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