IndividualActive
Deondre Bryant, ICADC, SAP
NPI 1467328757 · Addiction (Substance Use Disorder) Counselor · Boise, ID
Provider details
- NPI number
- 1467328757
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- ICADC, SAP
- Sex
- Male
- Sole proprietor
- No
- License
- 11564 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3287 N Maple Grove Rd
Boise, ID 83704-4215
Phone: (208) 350-0581
Approximate (ZIP-level) locationGet directions
Mailing address
3287 N Maple Grove Rd
Boise, ID 83704-4215
Registry dates
- Enumerated
- 2025-10-14
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.