Individual provider · Type 1 NPI
Miguel Angel Mouw, ICADC
Addiction (Substance Use Disorder) Counselor · Boise, ID
NPI number
1205182912
Active
Practice location
205 Oakhurst Way
Boise, ID 83709-0534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1360009 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205182912
Miguel Angel Mouw, ICADC's National Provider Identifier is 1205182912, issued on Jul 31, 2012. 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 Jul 31, 2012.