Individual provider · Type 1 NPI

Jeremy F. Blades, CADC

Addiction (Substance Use Disorder) Counselor · Boise, ID

NPI number 1184871816 Active

Practice location

5440 W Franklin Rd, Suite 101
Boise, ID 83705-1079

Fax (208) 336-9079

Mailing address

605 11th Ave E
Gooding, ID 83330-5368

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1139008 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184871816

Jeremy F. Blades, CADC's National Provider Identifier is 1184871816, issued on Aug 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boise, ID. The record was last updated on Aug 25, 2008.