Sarah Clark
Peer Specialist in Ammon, ID. Individual provider (NPI-1).
NPI number1033964796
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1033964796
- Entity type
- Individual (NPI-1)
- Name
- Sarah Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 163 | ID | Yes |
Practice location
2705 E 17th StAmmon, ID 83406-6669
Phone 208-346-7500 · Fax 307-333-0470
Mailing address
1621 E 49th S Apt 2107Idaho Falls, ID 83404-7897
Phone 208-403-4364
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