IndividualActive
Gary Edson, CADC
NPI 1275688012 · Addiction (Substance Use Disorder) Counselor · Boise, ID
Provider details
- NPI number
- 1275688012
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC
- Sex
- Male
- Sole proprietor
- No
- License
- 53 (ID)
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-3069
Fax: (208) 367-3002
Mailing address
Po Box 190930
Boise, ID 83719-0930
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.