Marta Herrera, CPSS, CRC(P), YSP
Peer Specialist in Ammon, ID. Individual provider (NPI-1).
NPI number1386479335
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1386479335
- Entity type
- Individual (NPI-1)
- Name
- Marta Herrera
- Credential
- CPSS, CRC(P), YSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2024
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
2705 E 17th StAmmon, ID 83406-6601
Phone 208-346-7500
Mailing address
2705 E 17th StAmmon, ID 83406-6601
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