NPI 1023444957

Jorge Padron, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Idaho Falls, ID

Practice location

Address: 543 3rd St, Idaho Falls, ID 83401-3909
Phone: (208) 522-6925
Fax: (208) 522-6934
Mailing address: 550 Amy Ln, Ammon, ID 83406-4542

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 155 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1023444957
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2013
Record last updated: 24 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.