Individual
DONALD BARANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ACADC
Contact information
Practice address
2321 E GALA ST STE 3, MERIDIAN, ID 83642-7692
(208) 888-5848
(208) 888-0884
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(208) 888-5848
(208) 888-0884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACADC - 35
ID
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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