Individual provider · Type 1 NPI
James Carroll
Addiction (Substance Use Disorder) Counselor · Coeur D Alene, ID
NPI number
1740615228
Active
Practice location
218 N 23rd St
Coeur D Alene, ID 83814-5411
Fax (208) 667-3154
Mailing address
218 N 23rd Street
Coeur D' Alene, ID 83814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | JC22712 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740615228
James Carroll's National Provider Identifier is 1740615228, issued on Sep 4, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 4, 2013.