Individual provider · Type 1 NPI
Krystal Diaz, BS/CPSS
Peer Specialist · Emmett, ID
NPI number
1639030604
Active
Practice location
2007 E Quail Run Rd Ste 1
Emmett, ID 83617-5059
Mailing address
307 N De Clark Ave
Emmett, ID 83617-3153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist Primary | 175T00000X | None 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.
2 other providers at this address
Other peer specialist providers in Emmett
About NPI 1639030604
Krystal Diaz, BS/CPSS's National Provider Identifier is 1639030604, issued on Nov 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Emmett, ID. The record was last updated on Nov 19, 2025.