Individual provider · Type 1 NPI
Tiffany Stephenson, PEER SUPPORT
Peer Specialist · Coeur D Alene, ID
NPI number
1699332437
Active
Practice location
2205 N Ironwood Pl Ste 100
Coeur D Alene, ID 83814-2487
Fax (804) 807-3799
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | 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.
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About NPI 1699332437
Tiffany Stephenson, PEER SUPPORT's National Provider Identifier is 1699332437, issued on May 28, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 23, 2020.