Individual provider · Type 1 NPI

Courtney Alisha Pellow

Peer Specialist · Coeur D Alene, ID

NPI number 1801372529 Active

Practice location

2201 Ironwood Pl
Coeur D Alene, ID 83814-2670

Mailing address

4470 E 16th Ave Trlr 10
Post Falls, ID 83854-5879

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
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.

13 other providers at this address

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About NPI 1801372529

Courtney Alisha Pellow's National Provider Identifier is 1801372529, issued on Jul 16, 2018. 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 Jul 16, 2018.