Rebecca Denise White, CPRC, CPSS, CPRC Sup
Peer Specialist in Pocatello, ID. Individual provider (NPI-1).
NPI number1689395378
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1689395378
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Denise White
- Credential
- CPRC, CPSS, CPRC Sup
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2022
- Certification date
- Sep 9, 2022
- Last updated
- Sep 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | ID | Yes |
Practice location
492 Wayne AvePocatello, ID 83201-4541
Phone 208-206-2285
Mailing address
2154 E 1340 SHeber City, UT 84032-1248
Phone 208-505-9990
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All 13 Peer Specialist providers in Pocatello · All 2,770 providers in Pocatello
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