Gary Dale Conder, ICADC
Gary Dale Conder, ICADC is an Addiction (Substance Use Disorder) Counselor in Fort Hall, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
115 Pima DrFort Hall, ID 83203-0306
Phone: (208) 238-2400
Fax: (208) 238-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence DA116101G (ID) |
|---|
Record details
| NPI number | 1538323225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ICADC |
| Sole proprietor | No |
| NPI enumerated | July 11, 2008 |
| Last updated in NPPES | July 11, 2008 |
Other providers in Fort Hall
-
Sandra Ortiz, ICADC
115 Pima Dr, Fort Hall, ID 83203-0306 · (208) 238-2400
-
Nava Reneda, CADC
E Agency Rd, Fort Hall, ID 83203-0306 · (208) 238-2400