NPI 1801566484

Debra Mae Haworth-Bush, CADCCPRCCPSSCFSP

Practitioner Addiction (Substance Use Disorder) Counselor Ponderay, ID

Practice location

Address: 30410 Highway 200 STE 200, Ponderay, ID 83852-9601
Phone: (208) 263-7101
Mailing address: PO Box 2160, Sandpoint, ID 83864-0908

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 12953 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1801566484
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2021
Record last updated: 15 Sep 2021

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.