Individual provider · Type 1 NPI

Sajjad Etminan

Peer Specialist · Boise, ID

NPI number 1215891809 Active

Practice location

9428 W Fairview Ave
Boise, ID 83704-8101

Call (208) 246-9902 Map

Mailing address

710 Twilight Loop
Twin Falls, ID 83301-4200

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1215891809

Sajjad Etminan's National Provider Identifier is 1215891809, issued on Dec 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2025.