DONALD BARANCO

MERIDIAN, ID
NPI1700256294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  ACADC - 35)
Enumeration Date2015-09-28
Last Update Date2015-09-28
Business Address
-- DONALD BARANCO MA, ACADC
2321 E GALA ST STE 3
MERIDIAN, ID 83642-7692
Phone number: 208-888-5848
Mailing Address
-- DONALD BARANCO MA, ACADC
2965 E TARPON DR STE 150
MERIDIAN, ID 83642-9007
Phone number: 208-888-5848
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