Diana Evelyn Soares, CRC

NPI #1568331072 in Jerome, Idaho

Provider Information

NPI Number: 1568331072
Entity Type: Individual
Name: Diana Evelyn Soares, CRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CRC
Enumeration Date: Nov 3, 2025
Last Updated: Nov 3, 2025

Practice Location

Address: 1349 WINTER LN
City: Jerome
State: Idaho
ZIP Code: 83338-2151
Phone: (208) 544-1402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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