Dodson, Elaine M
Dodson, Elaine M is an individual health care provider with primary practice located at 2205 Ironwood Pl Ste A/B, Coeur D Alene ID 83814-2785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dodson, Elaine M can be contacted via phone (208) 664-8347.Contact Information
Primary practice address
2205 Ironwood Pl Ste A/B
Coeur D Alene ID 83814-2785
Phone: (208) 664-8347
Fax: (208) 664-9217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CANC-118030 | Idaho |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LSW-27634 | Idaho |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 27634 | Idaho |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11445 | Idaho |
Profile Details
| NPI number | 1255668919 |
|---|---|
| LBN Legal business name | Dodson, Elaine M |
| Credentials | CADC/LMS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2009 |
| Last updated | Jan 14th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255668919 | NPPES |
| Washington | MEDICAID | 21113097 |
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