James Franklin Gump, BS, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lewiston, ID
NPI 1205699709 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1205699709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CADC-5039 (ID)
- Practice address
- 1720 18TH Ave
Lewiston, ID 83501-4047 - Phone
- (208) 746-4097
- NPI assigned
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| CADC-5039 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC-5039 | ID | Yes |
Addresses
Primary practice location
1720 18TH Ave
Lewiston, ID 83501-4047
Mailing address
1720 18TH Ave
Lewiston, ID 83501-4047
Phone (208) 746-4097
Other providers in Lewiston, ID
- Gritman Medical Center, Inc.
- Gary L. Grogan
- Tommy Joe Gross
- Thalia Celeste Guajardo
- Brianna Michelle Guier
- Gretchen Gay Gundy
- Carrie Gurgel
- Amy Lee Guzman
- Cody Kent Haas
- Galen Kent Haas
All providers in Lewiston, 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 Feb 6, 2024. 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.