Gary Dale Conder, ICADC

NPI #1538323225 in Fort Hall, Idaho

Provider Information

NPI Number
1538323225
Entity Type
Individual
Name
Gary Dale Conder, ICADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
ICADC
Enumeration Date
Jul 11, 2008
Last Updated
Jul 11, 2008

Practice Location

Address
115 PIMA DRIVE
State
Idaho
ZIP Code
83203-0306
Phone
(208) 238-2400

Specialties & Taxonomy Codes

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

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