Caylie Mae Dole
Peer Specialist in Ammon, ID. Individual provider (NPI-1).
NPI number1427974534
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1427974534
- Entity type
- Individual (NPI-1)
- Name
- Caylie Mae Dole
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2026
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | ID | Yes |
Practice location
5001 Remember DrAmmon, ID 83406-5050
Phone 208-604-0297
Mailing address
1020 Land Bank StIdaho Falls, ID 83402-1809
Phone 208-604-0297
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