Individual provider · Type 1 NPI

Beruk Welderufael Tesfamariam Sr.

Peer Specialist · Boise, ID

NPI number 1699644054 Active

Practice location

2915 N Cole Rd Ste 102
Boise, ID 83704-5917

Call (208) 747-5333 Map

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 1699644054

Beruk Welderufael Tesfamariam Sr.'s National Provider Identifier is 1699644054, issued on Nov 4, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Nov 4, 2025.