DAVID MICHAEL HEAVEN

POCATELLO, ID
NPI1992659163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-02-24
Last Update Date2026-02-24
Business Address
DAVID MICHAEL HEAVEN
1001 N 7TH AVE STE 260
POCATELLO, ID 83201-5786
Phone number: 208-242-9087
Mailing Address
DAVID MICHAEL HEAVEN
620 WARREN AVE
POCATELLO, ID 83201-3750
Phone number:
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