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Individual
JODI GRUENDLER
Active
Individual
JODI GRUENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11540042
IDAHO BOARD OF ALCOHOL/DRUG COUNSELOR CERTIFICATION
ID
Enumeration date
09/02/2016
Last updated
09/02/2016
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