Individual provider · NPI-1

Mohamed Abdullahi

Peer Specialist · Boise, ID

NPI number1316884331
StatusActive
Last updated in NPPESApr 29, 2026

Details

NPI
1316884331
Entity type
Individual (NPI-1)
Name
Mohamed Abdullahi
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 29, 2026
Certification date
Apr 29, 2026
Last updated
Apr 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

239 S Orchard St
Boise, ID 83705-1454

Phone 986-888-4712

Mailing address

239 S Orchard St
Boise, ID 83705-1454

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