Jorge Padron CADC

NPI 1023444957 - Counselor - 101YA0400X

NPI Details
NPI 1023444957
Gender Male
Enumeration Date 09/24/2013
Last Updated 09/24/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
543 3RD ST
IDAHO FALLS ID, 83401-3909, US
Phone (208) 522-6925
Fax (208) 522-6934
Business Location
550 AMY LN
AMMON ID, 83406-4542, US
Phone (208) 589-4139
Taxonomy Code 101YA0400X
License State Idaho
License Number 155
Remove 1023444957 NPI Number

According to our database, Mr. Jorge Padron CADC NPI is 1023444957, taxonomy code is 101YA0400X and license number is 155, license state is located at Idaho. Jorge Padron CADC physically located at 543 3rd St, Idaho Falls ID, 83401-3909. NPI Number Jorge Padron CADC has the Individual type.

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1023444957 NPI number is provided on an as is basis without warranty of any kind. 1023444957 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge Padron CADC are for informational purposes only.