Individual provider · Type 1 NPI

Andrew Micklus

Peer Specialist · Boise, ID

NPI number 1720816309 Active

Practice location

12553 W Explorer Dr Ste 190
Boise, ID 83713-1612

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 1720816309

Andrew Micklus's National Provider Identifier is 1720816309, issued on Jul 24, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Jul 24, 2024.