IndividualActive
David Heaven
NPI 1992659163 · Addiction (Substance Use Disorder) Counselor · Pocatello, ID
Provider details
- NPI number
- 1992659163
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1001 N 7th Ave Ste 260
Pocatello, ID 83201-5786
Phone: (208) 242-9087
Approximate (ZIP-level) locationGet directions
Mailing address
620 Warren Ave
Pocatello, ID 83201-3750
Registry dates
- Enumerated
- 2026-02-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.