GAVIN WELLS

IDAHO FALLS, ID
NPI1740057918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11391)
Enumeration Date2023-12-07
Last Update Date2023-12-07
Business Address
GAVIN WELLS CADC
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
Mailing Address
GAVIN WELLS CADC
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
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