Individual provider · Type 1 NPI
Rebecca Denise White, CPRC, CPSS, CPRC SUP
Peer Specialist · Pocatello, ID
NPI number
1689395378
Active
Practice location
492 Wayne Ave
Pocatello, ID 83201-4541
Mailing address
2154 E 1340 S
Heber City, UT 84032-1248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1689395378
Rebecca Denise White, CPRC, CPSS, CPRC SUP's National Provider Identifier is 1689395378, issued on Sep 9, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 9, 2022.