person
Roger D Virgin
Addiction (Substance Use Disorder) Counselor in Lewiston, Idaho
NPI 1144084617

Roger D Virgin is an Addiction (Substance Use Disorder) Counselor based in Lewiston, ID and is specialized in Addiction (Substance Use Disorder). Roger D Virgin practices in Lewiston, ID. The NPI Number for Roger D Virgin is 1144084617 and holds a License No. 13035 (Idaho).

The current practice location address for Roger D Virgin is 1443 Idaho St, Lewiston, ID and can be reached out via phone at 208-827-2524.

Location: 1443 Idaho St, Lewiston, ID, 83501-4047
person
Provider Profile Details
NPI Number
1144084617
Provider Name
Roger D Virgin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1443 Idaho St, Lewiston, ID, 83501-4047
Phone Number
208-827-2524
Fax Number
Provider Enumeration Date
02/06/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1443 Idaho St
City
State
Zip
83501-2558
Phone Number
208-827-2524
Fax Number
person
Provider Business Mailing Address Details
Address
1443 Idaho St
City
State
Zip
83501-2558
Phone Number
208-827-2524
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13035 (Idaho)
Definition
Definition to come...
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