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Search › Idaho › Addiction (Substance Use Disorder) Counselor

Justin Hirasaki

NPI 1902286099 · on the registry since 2015

Practice

Address
605 11th Ave E
Gooding, ID 83330
Phone
(208) 934-8461
Fax
(208) 934-5437
Organisation at this address
The Walker Center For Alcoholism And Drug Abuse, Inc.
The Walker Center For Alcoholism And Drug Abuse, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

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
2015-06-03

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