Individual
AARON ELIAS ST.GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., CADC
Contact information
Practice address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4080
(208) 800-0588
(208) 800-0599
Mailing address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4080
(208) 800-0588
(208) 800-0599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11542
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11542
IBADCC
ID
Enumeration date
08/29/2018
Last updated
06/11/2019
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