Individual provider · Type 1 NPI

Nicky Petrou

Peer Specialist · Boise, ID

NPI number 1700752086 Active

Practice location

3663 N Lakeharbor Ln
Boise, ID 83703-6913

Call (208) 522-6555 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 1700752086

Nicky Petrou's National Provider Identifier is 1700752086, issued on Oct 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Oct 14, 2025.