Individual
DAVID DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 N 8TH AVE, POCATELLO, ID 83201-5718
(208) 236-1600
(208) 236-6695
Mailing address
808 N 8TH AVE, POCATELLO, ID 83201-5718
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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