Nicholas R Tinker, MSW, CADC
Counselor, Addiction (Substance Use Disorder) in Boise, ID. Individual provider (NPI-1).
NPI number1447586888
StatusActive
Last updated in NPPESOct 20, 2009
Details
- NPI
- 1447586888
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas R Tinker
- Credential
- MSW, CADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2009
- Last updated
- Oct 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
8092 W Powell StBoise, ID 83714-2185
Phone 208-853-8271
Mailing address
8092 W Powell StBoise, ID 83714-2185
Phone 208-853-8271
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