Individual
SCOTT ENTRIKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDA
Contact information
Practice address
145 OASIS DR, POCATELLO, ID 83204-4825
(208) 705-7838
Mailing address
145 OASIS DR, POCATELLO, ID 83204-4825
(208) 705-7838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13013
ID
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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