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Tammy Park, CADC
Addiction (Substance Use Disorder) Counselor in Twin Falls, Idaho
NPI 1669895025

Tammy Park is an Addiction (Substance Use Disorder) Counselor based in Twin Falls, ID and is specialized in Addiction (Substance Use Disorder). Tammy Park practices in Twin Falls, ID and has the professional credentials of CADC. The NPI Number for Tammy Park is 1669895025 and holds a License No. 1144008 (Idaho).

The current practice location address for Tammy Park is 630 Addison Ave W Ste 1000, Twin Falls, ID and can be reached out via phone at 208-736-5048 and via fax at 208-735-2126.

Location: 630 Addison Ave W Ste 1000, Twin Falls, ID, 83301-5853
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Provider Profile Details
NPI Number
1669895025
Provider Name
Tammy Park
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
630 Addison Ave W Ste 1000, Twin Falls, ID, 83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
Provider Enumeration Date
01/21/2014
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558606962 05 ID
institution
Provider Business Practice Location Address Details
Address
630 Addison Ave W Ste 1000
City
State
Zip
83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
person
Provider Business Mailing Address Details
Address
630 Addison Ave W Ste 1000
City
State
Zip
83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1144008 (Idaho)
Definition
Definition to come...
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