Roger D Virgin
Roger D Virgin is an Addiction (Substance Use Disorder) Counselor in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
1443 Idaho StLewiston, ID 83501-2558
Phone: (208) 827-2524
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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 13035 (ID) |
|---|
Record details
| NPI number | 1144084617 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2024 |
| Last updated in NPPES | February 6, 2024 |
| Certification date | February 6, 2024 |
| Mailing address | 1720 18th Ave, Lewiston, ID 83501-4047 |
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