Individual provider · Type 1 NPI
Michael Jay Toothaker, CACIII
Addiction (Substance Use Disorder) Counselor · Steamboat, CO
NPI number
1417593161
Active
Practice location
320 Oak St.
Steamboat, CO 80477
Mailing address
PO Box 773705
Steamboat Springs, CO 80477-3705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2662 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1417593161
Michael Jay Toothaker, CACIII's National Provider Identifier is 1417593161, issued on Nov 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Steamboat, CO. The record was last updated on Nov 18, 2019.