Individual
DAVID MICHAEL HEAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 N 7TH AVE STE 260, POCATELLO, ID 83201-5786
(208) 242-9087
Mailing address
620 WARREN AVE, POCATELLO, ID 83201-3750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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