Individual
HEATHER LOUISE CARRIZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
524 S 9TH AVE STE 103, CALDWELL, ID 83605-5072
(208) 854-9758
Mailing address
2607 S MONTANA AVE, CALDWELL, ID 83605-5722
(208) 854-9758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-5032
ID
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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