Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

49 Alpha A

Organization Addiction (Substance Use Disorder) Counselor · NPI 1205623527

49 Alpha A is an Addiction (Substance Use Disorder) Counselor in Jerome, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

1035 N Lincoln Ave
Jerome, ID 83338-1816
Phone: (208) 308-0158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1205623527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Thorne — President · (208) 308-0158
NPI enumeratedApril 21, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address1102 Kenyon Rd, Twin Falls, ID 83301-5648

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