Mr Clinton W Aldrich, CADC is a
Counselor - Addiction (substance Use Disorder) based in St Maries, Idaho. Mr Clinton W Aldrich is licensed to practice in Idaho (license number 10045) and his current practice location is
89 Homer Dr, St Maries, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 245-5427.
NPI number for Mr Clinton W Aldrich is 1124305347 and his current mailing address is 89 Homer Dr, St Maries, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124305347.
Healthcare Provider's Profile
| Full Name | Mr Clinton W Aldrich |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 89 Homer Dr, St Maries, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124305347
- Provider Enumeration Date: 11/16/2011
- Last Update Date: 11/16/2011
Medical Identifiers
Medical identifiers for Mr Clinton W Aldrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124305347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10045 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clinton W Aldrich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Clinton W Aldrich, CADC
89 Homer Dr,
St Maries, ID 83861-5078
Ph: (208) 245-5427 | Mr Clinton W Aldrich, CADC
89 Homer Dr,
St Maries, ID 83861-5078
Ph: (208) 245-5427 |
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