Individual provider · Type 1 NPI
Debra Mae Haworth-Bush, CADC, CPRC, CPSS, CFSP
Addiction (Substance Use Disorder) Counselor · Ponderay, ID
NPI number
1801566484
Active
Practice location
30410 Highway 200 Ste 200
Ponderay, ID 83852-9601
Mailing address
PO Box 2160
Sandpoint, ID 83864-0908
Other practice locations
- 6509 Highway 2 Ste 101, Priest River, ID 83856-6609 · (208) 448-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12953 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Ponderay
About NPI 1801566484
Debra Mae Haworth-Bush, CADC, CPRC, CPSS, CFSP's National Provider Identifier is 1801566484, issued on Sep 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ponderay, ID. The record was last updated on Sep 15, 2021.