person
Justin Hiroshi Hirasaki
Addiction (Substance Use Disorder) Counselor in Gooding, Idaho
NPI 1902286099

Justin Hiroshi Hirasaki is an Addiction (Substance Use Disorder) Counselor based in Montpelier, ID and is specialized in Addiction (Substance Use Disorder). Justin Hiroshi Hirasaki practices in Gooding, ID. The NPI Number for Justin Hiroshi Hirasaki is 1902286099 and holds a License No. 10267 (Idaho).

The current practice location address for Justin Hiroshi Hirasaki is 605 11Th Ave E, Gooding, ID and can be reached out via phone at 208-934-8461 and via fax at 208-934-5437.

Location: 605 11Th Ave E, Gooding, ID, 83254-1452
person
Provider Profile Details
NPI Number
1902286099
Provider Name
Justin Hiroshi Hirasaki
Credential
Provider Entity Type
Individual
Gender
Male
Address
605 11Th Ave E, Gooding, ID, 83254-1452
Phone Number
208-934-8461
Fax Number
208-934-5437
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 11Th Ave E
City
State
Zip
83330-5368
Phone Number
208-934-8461
Fax Number
208-934-5437
person
Provider Business Mailing Address Details
Address
605 11Th Ave E
City
State
Zip
83330-5368
Phone Number
208-934-8461
Fax Number
208-934-5437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10267 (Idaho)
Definition
Definition to come...
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