Individual
ALEC MICHAEL GEDWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 S 9TH AVE STE 103, CALDWELL, ID 83605-5072
(208) 454-8555
Mailing address
1511 W LOWRY ST, MERIDIAN, ID 83646-3128
(925) 858-8423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9271575
ID
Other
Enumeration date
10/07/2024
Last updated
03/04/2026
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