person
Pebbles P Willis, PSS
Peer Specialist in Boise, Idaho
NPI 1487405452

Pebbles P Willis is a Peer Specialist based in Pasco, ID. Pebbles P Willis practices in Boise, ID and has the professional credentials of PSS. The NPI Number for Pebbles P Willis is 1487405452 and holds a License No. (Idaho).

The current practice location address for Pebbles P Willis is 8050 W Rifleman St Ste 200, Boise, ID and can be reached out via phone at 877-522-1275 and via fax at 509-491-3031.

Location: 8050 W Rifleman St Ste 200, Boise, ID, 99301-8216
person
Provider Profile Details
NPI Number
1487405452
Provider Name
Pebbles P Willis
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
8050 W Rifleman St Ste 200, Boise, ID, 99301-8216
Phone Number
877-522-1275
Fax Number
509-491-3031
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
8050 W Rifleman St Ste 200
City
State
Zip
83704-9006
Phone Number
877-522-1275
Fax Number
509-491-3031
person
Provider Business Mailing Address Details
Address
8050 W Rifleman St Ste 200
City
State
Zip
83704-9006
Phone Number
877-522-1275
Fax Number
509-491-3031
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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