Individual
CAROL LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACADC
Contact information
Practice address
8382 N WAYNE DR STE 201, HAYDEN, ID 83835-6028
(208) 762-8777
Mailing address
8382 N WAYNE DR STE 201, HAYDEN, ID 83835-6028
(208) 762-8777
(208) 762-8780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13024
ID
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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