DEBRA MAE HAWORTH-BUSH

PONDERAY, ID
NPI1801566484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ID  12953)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
DEBRA MAE HAWORTH-BUSH CADC,CPRC,CPSS,CFSP
30410 HIGHWAY 200 STE 200
PONDERAY, ID 83852-9601
Phone number: 208-263-7101
Mailing Address
DEBRA MAE HAWORTH-BUSH CADC,CPRC,CPSS,CFSP
PO BOX 2160
SANDPOINT, ID 83864-0908
Phone number: 208-263-7101
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