TAMRA PETERSON, LMSW, CADC

Social Worker - Clinical

Active Individual
NPI: 1437785607

Practice Address

1246 YELLOWSTONE AVE BLDG F
Pocatello, ID 83201

Phone: (208) 237-9194

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 11820 (ID)
Social Worker - Clinical 1041C0700X Yes LMSW-39018 (ID)

Frequently Asked Questions

NPI 1437785607 is the National Provider Identifier for TAMRA PETERSON, LMSW, CADC, a Social Worker - Clinical provider located in Pocatello, ID. This NPI was enumerated on March 19, 2020.
TAMRA PETERSON, LMSW, CADC practices at 1246 YELLOWSTONE AVE BLDG F, Pocatello, ID 83201.

Quick Facts

NPI
1437785607
Type
Individual
Enumerated
Mar 19, 2020
Last Updated
Mar 27, 2020

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