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Zachary Kinney, RECOVERYCOACH
Peer Specialist in Pocatello, Idaho
NPI 1619694312

Zachary Kinney is a Peer Specialist based in Pocatello, ID. Zachary Kinney practices in Pocatello, ID and has the professional credentials of RECOVERYCOACH. The NPI Number for Zachary Kinney is 1619694312 and holds a License No. 13056 (Idaho).

The current practice location address for Zachary Kinney is 5230 W Moonlight Mine Rd, Pocatello, ID and can be reached out via phone at 208-478-0219 and via fax at 208-944-9655. You can also correspond with Zachary Kinney through the mailing address at 32 RAVINE DR, POCATELLO, ID - 83204-4031 (mailing address contact number: 608-633-2712).

Location: 5230 W Moonlight Mine Rd, Pocatello, ID, 83204-4031
person
Provider Profile Details
NPI Number
1619694312
Provider Name
Zachary Kinney
Credential
RECOVERYCOACH
Provider Entity Type
Individual
Gender
Male
Address
5230 W Moonlight Mine Rd, Pocatello, ID, 83204-4031
Phone Number
208-478-0219
Fax Number
208-944-9655
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5230 W Moonlight Mine Rd
City
State
Zip
83201-9013
Phone Number
208-478-0219
Fax Number
208-944-9655
person
Provider Business Mailing Address Details
Address
5230 W Moonlight Mine Rd
City
State
Zip
83201-9013
Phone Number
208-478-0219
Fax Number
208-944-9655
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
13056 (Idaho)
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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