Individual
MR. JOSHUA MICHAEL SEVERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, ACADC
Contact information
Practice address
427 N 12TH STREET, PLUMMER, ID 83851
(208) 686-1449
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1449
(208) 686-5133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACADC-13016
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW-39053
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMSW-36753
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39053
ID
171M00000X
Case Manager/Care Coordinator
LCSW-39053
ID
Other
Enumeration date
06/15/2017
Last updated
11/18/2021
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