| Doctor Name: | DAVID RONALD PRIESTLEY |
| NPI Number: | 1265865554 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW-30965 |
| Business Practice Address: | 75 S 1st W Preston, ID - 832631204 |
| Business Phone Number: | 2088522370 |
| Business Fax Number: | 2088525570 |
| Mailing Address: | Po Box 54, FRANKLIN |
| State: | ID |
| Postal Code: | 832370054 |
| Phone Number: | 2088522370 |
| Fax Number: | 2088525570 |
| NPI Enumeration Date: | 08/09/2013 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW-30965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |