Individual
ADAM DAVID ROWBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS CADC
Contact information
Practice address
1020 LAND BANK ST, IDAHO FALLS, ID 83402-1809
(208) 522-6155
(208) 522-6156
Mailing address
1020 LAND BANK ST, IDAHO FALLS, ID 83402-1809
(208) 522-6155
(208) 522-6156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673
IDAHO BOARD OF ALCOHOL/DRUG COUNSELOR CERTIFICATION
ID
Enumeration date
12/13/2019
Last updated
12/13/2019
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