MICHAEL ANTHONEY

GOODING, ID
NPI1700046356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- MICHAEL ANTHONEY
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
Mailing Address
-- MICHAEL ANTHONEY
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461