JASON ADAMS

COEUR D ALENE, ID
NPI1306274055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  jla10-12)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
-- JASON ADAMS
5431 N GOVERNMENT WAY
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603
Mailing Address
-- JASON ADAMS
5431 N GOVERNMENT WAY
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603
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