WAYNE KAUPPILA

GOODING, ID
NPI1427338714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  170)
Enumeration Date2011-08-18
Last Update Date2011-08-18
Business Address
-- WAYNE KAUPPILA CADC
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
Mailing Address
-- WAYNE KAUPPILA CADC
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
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