Individual provider · Type 1 NPI

Justin Hiroshi Hirasaki

Addiction (Substance Use Disorder) Counselor · Gooding, ID

NPI number 1902286099 Active

Practice location

605 11th Ave E
Gooding, ID 83330-5368

Call (208) 934-8461 Map

Fax (208) 934-5437

Mailing address

842 Jefferson St
Montpelier, ID 83254-1452

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10267 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902286099

Justin Hiroshi Hirasaki's National Provider Identifier is 1902286099, issued on Jun 3, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gooding, ID. The record was last updated on Jun 3, 2015.