Individual provider · Type 1 NPI
Gary D. Edson, CADC
Addiction (Substance Use Disorder) Counselor · Boise, ID
NPI number
1275688012
Active
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Fax (208) 367-3002
Mailing address
PO Box 190930
Boise, ID 83719-0930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 53 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275688012
Gary D. Edson, CADC's National Provider Identifier is 1275688012, issued on Jan 24, 2007. 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 8, 2007.