Brian Chambers, B.S.., CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boise, ID
NPI 1104257070 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1104257070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 101YA0400X (ID)
- Practice address
- 400 N Benjamin LN
Suite 201
Boise, ID 83704-5094 - Phone
- (208) 287-5630
- Fax
- (208) 287-5609
- NPI assigned
- Dec 3, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YA0400X | ID | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ada County Juvenile Court Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X | ID | Yes |
Addresses
Primary practice location
400 N Benjamin LN
Suite 201
Boise, ID 83704-5094
Mailing address
400 N Benjamin LN
Suite 201
Boise, ID 83704-5094
Phone (208) 287-5630
Other providers in Boise, ID
- Karsyn Chalfa-Swift
- Melissa Jimenez Chalom
- Jacob Chamberlain
- Kathryn Chamberlain
- Sheri Chamberland
- Brian Earl Chambers
- Chantal Brooke Chambers
- Cynthia Ann Chambers
- Amy Champ
- Amy Chan
All providers in Boise, ID · Addiction (Substance Use Disorder) Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.