Individual
ALISHA MICHELLE TUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
825 TRAILS END, IDAHO FALLS, ID 83402-1231
(208) 681-6404
Mailing address
825 TRAILS END, IDAHO FALLS, ID 83402-1231
(208) 681-6404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-S111
ID
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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