Individual
TAMARA IRENE FERRARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADT 1
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
1106 E LITHIC CT, KUNA, ID 83634-2481
(208) 506-0939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2213138
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
11/23/2024
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