SCOTT ENTRIKIN

POCATELLO, ID
NPI1881275956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  13013)
Enumeration Date2021-04-19
Last Update Date2021-04-19
Business Address
SCOTT ENTRIKIN SUDA
145 OASIS DR
POCATELLO, ID 83204-4825
Phone number: 208-705-7838
Mailing Address
SCOTT ENTRIKIN SUDA
145 OASIS DR
POCATELLO, ID 83204-4825
Phone number: 208-705-7838
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