Individual provider · Type 1 NPI

Chrisanna Marie Peterson

Peer Specialist · Ammon, ID

NPI number 1861375933 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6669

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 1861375933

Chrisanna Marie Peterson's National Provider Identifier is 1861375933, issued on Jul 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ammon, ID. The record was last updated on Jul 28, 2025.