Individual
MR. NICHOLAS R TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CADC
Contact information
Practice address
8092 W POWELL ST, BOISE, ID 83714-2185
(208) 853-8271
Mailing address
8092 W POWELL ST, BOISE, ID 83714-2185
(208) 853-8271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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