Individual
SUSAN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3069
(208) 367-3002
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-3069
(208) 367-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1022797
ID
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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