KENNETH E CHANDLER

BOISE, ID
NPI1629205570
Other NameKENNETH E CHANDLER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  1280008)
Enumeration Date2009-06-18
Last Update Date2009-06-18
Business Address
-- KENNETH E CHANDLER
6138 W EMERALD ST STE B
BOISE, ID 83704-8857
Phone number: 208-367-3069
Mailing Address
-- KENNETH E CHANDLER
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-3069