person
Debra Mae Haworth-bush, CADC,CPRC,CPSS,CFSP
Addiction (Substance Use Disorder) Counselor in Ponderay, Idaho
NPI 1801566484

Debra Mae Haworth-bush is an Addiction (Substance Use Disorder) Counselor based in Sandpoint, ID and is specialized in Addiction (Substance Use Disorder). Debra Mae Haworth-bush practices in Ponderay, ID and has the professional credentials of CADC,CPRC,CPSS,CFSP. The NPI Number for Debra Mae Haworth-bush is 1801566484 and holds a License No. 12953 (Idaho).

The current practice location address for Debra Mae Haworth-bush is 30410 Highway 200 Ste 200, Ponderay, ID and can be reached out via phone at 208-263-7101.

Location: 30410 Highway 200 Ste 200, Ponderay, ID, 83864-0908
person
Provider Profile Details
NPI Number
1801566484
Provider Name
Debra Mae Haworth-bush
Credential
CADC,CPRC,CPSS,CFSP
Provider Entity Type
Individual
Gender
Female
Address
30410 Highway 200 Ste 200, Ponderay, ID, 83864-0908
Phone Number
208-263-7101
Fax Number
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30410 Highway 200 Ste 200
City
State
Zip
83852-9601
Phone Number
208-263-7101
Fax Number
person
Provider Business Mailing Address Details
Address
30410 Highway 200 Ste 200
City
State
Zip
83852-9601
Phone Number
208-263-7101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12953 (Idaho)
Definition
Definition to come...
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