Individual
DOUGBERTO GARCIA ZAMBRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2211 E LOCUST ST, CALDWELL, ID 83605-5946
(208) 454-5133
(208) 454-0749
Mailing address
2211 E LOCUST ST, CALDWELL, ID 83605-5946
(208) 454-5133
(208) 454-0749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1250008
ID
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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