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NPI Code Detail

MEDICARE: CONSTANCE MESHACK-HART

MEDICARE: CONSTANCE MESHACK-HART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1407034325
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE MESHACK-HART
Provider Business Mailing Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Provider Business Practice Location Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 03/13/2024

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Directions to “ CONSTANCE MESHACK-HART ” Practice Location

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