JACINDA CONRAD MA CADC NPI 1043629207

NPI Information

NPI: 1043629207
Provider Name: JACINDA CONRAD, MA, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5420 W FRANKLIN RD
BOISE, ID
ZIP 83705
Phone: (208) 336-9076
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Jacinda Conrad, MA, CADC is an addiction (substance use disorder) counselor in Boise, ID. Jacinda Conrad, MA, CADC NPI is 1043629207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5420 W FRANKLIN RD
BOISE, ID
ZIP 83705-071
Phone: (208) 336-9076

The enumeration date for this NPI number is 8/12/2014 and was last updated on 8/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	10212	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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