Individual
AMANDA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
522 LOMAX ST, IDAHO FALLS, ID 83401-6264
(208) 522-6925
(208) 522-6934
Mailing address
522 LOMAX ST, IDAHO FALLS, ID 83401-6264
(208) 522-6925
(208) 522-6934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11638
ID
Other
Enumeration date
09/24/2013
Last updated
12/07/2023
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