Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLINTON W. ALDRICH, CADC
ActiveMR. CLINTON W. ALDRICH, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ST MARIES, Idaho. NPI 1124305347 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ST MARIES, ID
Registration Details
- NPI Number
- 1124305347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2011 (14.701866901048 yrs)
- Last Updated
- Nov 16, 2011
- License
-
10045 (ID)
Practice Information
- Address
-
89 HOMER DRST MARIES, ID, 838615078Browse ID providers · Browse ZIP 83861
- Phone
- 2082455427
- Fax
- 2092455425
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.