Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY STEPHEN DESANTIS, LCPC
Active Sole ProprietorMR. TIMOTHY STEPHEN DESANTIS, LCPC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BOISE, Idaho. NPI 1861837601 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BOISE, ID
Registration Details
- NPI Number
- 1861837601
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2013 (13.274653693109 yrs)
- Last Updated
- May 7, 2013
- License
-
LCPC-4671 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8620 W EMERALD STSUITE 150BOISE, ID, 837044824Browse ID providers · Browse ZIP 83704
- Phone
- 2086722900
- Fax
- 2086722919
- 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 |
| GARY D EDSON | CADC | 1275688012 |
| SUSAN FROST | CADC | 1861547614 |
| CONSTANCE MESHACK-HART | — | 1407034325 |
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.