| Justin Hiroshi Hirasaki, | |
|
605 11th Ave E, Gooding, ID 83330-5368 | |
| (208) 934-8461 | |
| (208) 934-5437 |
| Full Name | Justin Hiroshi Hirasaki |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 605 11th Ave E, Gooding, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902286099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10267 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Hiroshi Hirasaki, 842 Jefferson St, Montpelier, ID 83254-1452 Ph: (808) 277-8075 | Justin Hiroshi Hirasaki, 605 11th Ave E, Gooding, ID 83330-5368 Ph: (208) 934-8461 |
Gamile Yow, CADC, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 11th Ave E, Gooding, ID 83330 Phone: 208-934-8461 Fax: 208-934-5437 | |
Stephanie Jan Bowles, M.ED,CRC,LPC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 University Dr, Gooding, ID 83330 Phone: 208-595-4946 | |
Doyle Drury, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 11th Ave E, Gooding, ID 83330 Phone: 208-934-8461 Fax: 208-934-5437 | |
Carmalin S Resz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 11th Ave E, Gooding, ID 83330 Phone: 208-934-8461 | |
Joshua D Cooke, M.S. LPC NCC QSUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 University Dr, Gooding, ID 83330 Phone: 801-934-5880 | |
Denise Marie Jensen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 215 University Dr, Gooding, ID 83330 Phone: 208-934-5880 Fax: 208-934-5876 | |
Bridget Hurd, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 11th Ave E, Gooding, ID 83330 Phone: 208-934-8461 Fax: 208-934-5437 |