Individual provider · Type 1 NPI

Pebbles P. Kellum, PSS

Peer Specialist · Boise, ID

NPI number 1487405452 Active

Practice location

8050 W Rifleman St Ste 200
Boise, ID 83704-9006

Call (877) 522-1275 Map

Fax (509) 491-3031

Mailing address

4959 W Albion St Apt 303
Boise, ID 83705-1286

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 1487405452

Pebbles P. Kellum, PSS's National Provider Identifier is 1487405452, issued on Mar 28, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Aug 18, 2026.