Individual provider · Type 1 NPI

Taryn Suzanne Ivie, CADC

Addiction (Substance Use Disorder) Counselor · Ashton, ID

NPI number 1124412747 Active

Practice location

1320 N 3300 E
Ashton, ID 83420-5018

Call (208) 589-9054 Map

Fax (208) 624-1351

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10221 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1124412747

Taryn Suzanne Ivie, CADC's National Provider Identifier is 1124412747, issued on Mar 20, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashton, ID. The record was last updated on Mar 20, 2015.