Donald Baranco, MA, ACADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Meridian, ID
NPI 1700256294 · NPPES record last updated Sep 28, 2015
Key facts
- NPI
- 1700256294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- ACADC - 35 (ID)
- Practice address
- 2321 E Gala St Ste 3
Meridian, ID 83642-7692 - Phone
- (208) 888-5848
- Fax
- (208) 888-0884
- NPI assigned
- Sep 28, 2015
- 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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACADC - 35 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACADC - 35 | ID | Yes |
Addresses
Primary practice location
2321 E Gala St Ste 3
Meridian, ID 83642-7692
Mailing address
2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Phone (208) 888-5848
Other providers in Meridian, ID
- Miranda Ballard
- Madison Ballif
- Doug Bandy
- Carmen Maria Banuelos
- Patient Ngoy Banza
- David James Barclay II
- Jana Barker
- Jason Curtis Barker
- Lisa M. Barker
- Adriana N. Barnes
All providers in Meridian, 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 Sep 28, 2015. 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.