Individual
JUSTIN ROBERT HUMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 580-5431
Mailing address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 580-5431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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