Tara Rayvonti, CPSS. B.S. FPSS

NPI #1124872072 in Paul, Idaho

Provider Information

NPI Number: 1124872072
Entity Type: Individual
Name: Tara Rayvonti, CPSS. B.S. FPSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Credential: CPSS. B.S. FPSS
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: PO BOX 754
City: Paul
State: Idaho
ZIP Code: 83347-0754
Phone: (208) 878-8887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Case Manager/Care Coordinator	171M00000X	Primary

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