Individual
MR. CLINTON W. ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
89 HOMER DR, ST MARIES, ID 83861-5078
(208) 245-5427
(209) 245-5425
Mailing address
89 HOMER DR, ST MARIES, ID 83861-5078
(208) 245-5427
(209) 245-5425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10045
ID
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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