JOSHUA WILDING

EAGLE, ID
NPI1841939089
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  10123)
Enumeration Date2022-06-03
Last Update Date2022-06-03
Business Address
JOSHUA WILDING CADC
5732 W DURNING DR
EAGLE, ID 83616-6238
Phone number: 208-599-4245
Mailing Address
JOSHUA WILDING CADC
5732 W DURNING DR
EAGLE, ID 83616-6238
Phone number: 208-599-4245