Zachary Kinney, RECOVERY COACH - Pocatello, ID

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.

Location: 5230 W Moonlight Mine Rd, Pocatello, ID, 83204-4031

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

Address

5230 W Moonlight Mine Rd

City

Pocatello

State

Idaho

Zip

83201-9013

Phone Number

208-478-0219

Fax Number

208-944-9655

Address

5230 W Moonlight Mine Rd

City

Pocatello

State

Idaho

Zip

83201-9013

Phone Number

208-478-0219

Fax Number

208-944-9655

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

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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