Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY D EDSON, CADC
ActiveAddiction (Substance Use Disorder) Counselor · BOISE, ID
Registration Details
- NPI Number
- 1275688012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2007 (19.24158330376 yrs)
- Last Updated
- Jul 8, 2007
- License
-
53 (ID)
Practice Information
- Address
-
1055 N CURTIS RDBOISE, ID, 837061309Browse ID providers · Browse ZIP 83706
- Phone
- 2083673069
- Fax
- 2083673002
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. SUE MARIE HICKS | LCSW, CADC III | 1023028990 |
| MS. MARIE ANN SHADE | LCPC | 1609945831 |
| KRISTINA LAMPE | LPC2774 | 1104971969 |
| SUSAN FROST | CADC | 1861547614 |
| CONSTANCE MESHACK-HART | — | 1407034325 |
| CLAY DENNIS SCOFIELD | LPC, MA, CADC | 1902071749 |
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.