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1073159950
DANIEL HOLSTEN
POCATELLO, ID
NPI
1073159950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-26
Last Update Date
2022-04-13
Business Address
DANIEL HOLSTEN CADC
1001 N 7TH AVE STE 260
POCATELLO, ID 83201-5788
Phone number: 208-242-9087
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Mailing Address
DANIEL HOLSTEN CADC
1001 N 7TH AVE STE 260
POCATELLO, ID 83201-5788
Phone number: 208-242-9087
Copy
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