Organization · Type 2 NPI
Lighthouse for Recovery, LLC
Addiction (Substance Use Disorder) Counselor · Pocatello, ID
NPI number
1013298058
Active
Practice location
1135 Yellowstone Ave, Suite D
Pocatello, ID 83201-5082
Fax (208) 232-5423
Mailing address
147 W Linden Ave
Chubbuck, ID 83202-2306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCSW 28016 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Pocatello
About NPI 1013298058
Lighthouse for Recovery, LLC's National Provider Identifier is 1013298058, issued on Sep 5, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pocatello, ID. The record was last updated on Sep 5, 2011.