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MRS. TARYN SUZANNE IVIE CADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124412747

Individual Registrant:
MRS. TARYN SUZANNE IVIE CADC
Gender: F
Sole Proprietor

Location and contact information for practice:
1320 N 3300 E  ASHTON, ID 83420-5018 US
Tel: 208-589-9054  Fax: 208-624-1351

Contact information for business:
1320 N 3300 E  ASHTON, ID 83420-5018 US
Tel: 208-589-9054  Fax: 208-624-1351

Registration Information:
NPI: 1124412747
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
ID10221

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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