MR. Rusty James Wattier, SUDA

NPI #1134965197 in Caldwell, Idaho

Provider Information

NPI Number
1134965197
Entity Type
Individual
Name
MR. Rusty James Wattier, SUDA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SUDA
Enumeration Date
Jul 8, 2024
Last Updated
Jul 8, 2024

Practice Location

Address
709 DEARBORN ST
State
Idaho
ZIP Code
83605-4116
Phone
(208) 606-9494

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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