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Debra Haworth-Bush, CADC,CPRC,CPSS,CFSP — NPI 1801566484, Ponderay, ID | NPI Central

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NPI 1801566484

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Debra Haworth-Bush, CADC,CPRC,CPSS,CFSP

NPI 1801566484 · Addiction (Substance Use Disorder) Counselor · Ponderay, ID

Provider details

NPI number: 1801566484
Entity type: Individual
Primary specialty: Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
Credential: CADC,CPRC,CPSS,CFSP
Sex: Female
Sole proprietor: No
License: 12953 (ID)

Specialties & taxonomies

Addiction (Substance Use Disorder) CounselorPrimary101YA0400XLicense 12953 (ID)
Behavioral Health & Social Service Providers

Practice location

30410 Highway 200 Ste 200

Ponderay, ID 83852-9601

Phone: (208) 263-7101

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 2160

Sandpoint, ID 83864-0908

Additional practice locations (1)

6509 Highway 2 Ste 101
Priest River, ID 83856-6609
Phone: (208) 448-2321

Registry dates

Enumerated: 2021-09-15
Last updated: 2021-09-15
Certified: 2021-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.