Individual provider · Type 1 NPI
Edward Mathews, ISAS
Addiction (Substance Use Disorder) Counselor · Idaho Falls, ID
NPI number
1861844094
Active
Practice location
482 Constitution Way, Suite 110
Idaho Falls, ID 83402-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ISAS-10328 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1861844094
Edward Mathews, ISAS's National Provider Identifier is 1861844094, issued on Jul 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 12, 2016.