Individual provider · Type 1 NPI

Tammy Park, CADC

Addiction (Substance Use Disorder) Counselor · Twin Falls, ID

NPI number 1669895025 Active

Practice location

630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853

Fax (208) 735-2126

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1144008 (ID)

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

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About NPI 1669895025

Tammy Park, CADC's National Provider Identifier is 1669895025, issued on Jan 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Twin Falls, ID. The record was last updated on Sep 23, 2024.