person
Gavin Wells, CADC
Addiction (Substance Use Disorder) Counselor in Idaho Falls, Idaho
NPI 1740057918

Gavin Wells is an Addiction (Substance Use Disorder) Counselor based in Idaho Falls, ID and is specialized in Addiction (Substance Use Disorder). Gavin Wells practices in Idaho Falls, ID and has the professional credentials of CADC. The NPI Number for Gavin Wells is 1740057918 and holds a License No. 11391 (Idaho).

The current practice location address for Gavin Wells is 522 Lomax St, Idaho Falls, ID and can be reached out via phone at 208-522-6925 and via fax at 208-522-6934.

Location: 522 Lomax St, Idaho Falls, ID, 83401
person
Provider Profile Details
NPI Number
1740057918
Provider Name
Gavin Wells
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
522 Lomax St, Idaho Falls, ID, 83401
Phone Number
208-522-6925
Fax Number
208-522-6934
Provider Enumeration Date
12/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
522 Lomax St
City
State
Zip
83401
Phone Number
208-522-6925
Fax Number
208-522-6934
person
Provider Business Mailing Address Details
Address
522 Lomax St
City
State
Zip
83401
Phone Number
208-522-6925
Fax Number
208-522-6934
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11391 (Idaho)
Definition
Definition to come...
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