Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT ENTRIKIN, SUDA
Active Sole ProprietorSCOTT ENTRIKIN, SUDA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in POCATELLO, Idaho. NPI 1881275956 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · POCATELLO, ID
Registration Details
- NPI Number
- 1881275956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2021 (5.2878221327426 yrs)
- Last Updated
- Apr 19, 2021
- License
-
13013 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 OASIS DRPOCATELLO, ID, 832044825Browse ID providers · Browse ZIP 83204
- Phone
- 2087057838
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| BRYSON KAY VAUGHAN | LPC | 1598192734 |
| DANIEL HOLSTEN | CADC | 1073159950 |
| TIFFANY CAMPBELL | — | 1245918093 |
| TAMI SMITH | CADC | 1700621737 |
| DYLAN BROWN | — | 1871322172 |
| JENNIFER BUNDERSON | — | 1790575355 |
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.