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Individual

MR. ANTHONY BRIAN TENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 816-0015
Mailing address
3214 8TH ST E, LEWISTON, ID 83501-4848
(208) 816-0015

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11834
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
ID

Other

Enumeration date
03/12/2024
Last updated
03/12/2024
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