Andrea Madson, LMSW

NPI #1982055166 in Shoshone, Idaho

Provider Information

NPI Number: 1982055166
Entity Type: Individual
Name: Andrea Madson, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 28, 2016
Last Updated: Jun 28, 2016

Practice Location

Address: 113 S APPLE ST
City: Shoshone
State: Idaho
ZIP Code: 83352-5287
Phone: (208) 886-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X	Primary
Social Worker - School — School	1041S0200X

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