Roger D Virgin

NPI #1144084617 in Lewiston, Idaho

Provider Information

NPI Number
1144084617
Entity Type
Individual
Name
Roger D Virgin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 6, 2024
Last Updated
Feb 6, 2024

Practice Location

Address
1443 IDAHO ST
State
Idaho
ZIP Code
83501-2558
Phone
(208) 827-2524

Specialties & Taxonomy Codes

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

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