Individual provider · Type 1 NPI
Jorge Padron, CADC
Addiction (Substance Use Disorder) Counselor · Idaho Falls, ID
NPI number
1023444957
Active
Practice location
543 3rd St
Idaho Falls, ID 83401-3909
Fax (208) 522-6934
Mailing address
550 Amy Ln
Ammon, ID 83406-4542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 155 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1023444957
Jorge Padron, CADC's National Provider Identifier is 1023444957, issued on Sep 24, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 24, 2013.