Individual
WALTER JAMES MELDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, BS, QSUDP
Contact information
Practice address
1299 N ORCHARD ST STE 110, BOISE, ID 83706-2266
(208) 672-3426
Mailing address
1682 E TIME ZONE DR, MERIDIAN, ID 83642-4500
(208) 351-2765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11733
ID
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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