Individual
DAWN MARIE NUTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, CRCS
Contact information
Practice address
562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 280-9695
(208) 734-3435
Mailing address
1286 QUAIL ST, TWIN FALLS, ID 83301-5667
(208) 280-9695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD-5046
ID
174400000X
Specialist
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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