Robert James Dunfee, CADC 11922

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boise, ID

NPI 1225699523 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1225699523
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
7941 W Rifleman St
Boise, ID 83704-9001
Phone
(208) 810-2706
NPI assigned
Jun 26, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

7941 W Rifleman St
Boise, ID 83704-9001

Mailing address

1650 S Topaz Way
Meridian, ID 83642-4474

Other providers in Boise, ID

All providers in Boise, ID · Addiction (Substance Use Disorder) Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.