Individual provider · Type 1 NPI

Sarah Clark

Peer Specialist · Ammon, ID

NPI number 1033964796 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6669

Call (208) 346-7500 Map

Fax (307) 333-0470

Mailing address

1621 E 49th S Apt 2107
Idaho Falls, ID 83404-7897

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X163 (ID)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1033964796

Sarah Clark's National Provider Identifier is 1033964796, issued on Apr 17, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ammon, ID. The record was last updated on Jul 13, 2026.