Individual provider · Type 1 NPI
Sandra Ortiz, ICADC
Addiction (Substance Use Disorder) Counselor · Fort Hall, ID
NPI number
1396909024
Active
Practice location
115 Pima Drive
Fort Hall, ID 83203-0306
Fax (208) 238-5462
Mailing address
East Agency Rd
Fort Hall, ID 83203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ICADC 22075 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Fort Hall
About NPI 1396909024
Sandra Ortiz, ICADC's National Provider Identifier is 1396909024, issued on Jul 11, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Hall, ID. The record was last updated on Jul 11, 2008.