Individual provider · Type 1 NPI
Kaitlyn Drew Bisharat, LPC
Addiction (Substance Use Disorder) Counselor · Blackfoot, ID
NPI number
1376346411
Active
Practice location
495 Emerald Ave
Blackfoot, ID 83221-3968
Fax (208) 881-9038
Mailing address
62 S 1200 W
Blackfoot, ID 83221-6075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 6861160 (ID) |
| Professional Counselor | 101YP2500X | 6861160 (ID) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6861160 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Blackfoot
About NPI 1376346411
Kaitlyn Drew Bisharat, LPC's National Provider Identifier is 1376346411, issued on Mar 31, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blackfoot, ID. The record was last updated on Mar 31, 2025.