Crow, Taresa Dawn

Crow, Taresa Dawn is an sole proprietor health care provider with primary practice located at 3655 Samuel St , Ammon ID 83406-7822. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crow, Taresa Dawn can be contacted via phone (208) 403-7762.

Contact Information

Primary practice address
3655 Samuel St Ammon ID 83406-7822
Phone: (208) 403-7762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29530 Idaho

Profile Details

NPI number 1922627314
LBN Legal business name Crow, Taresa Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2020
Last updated Apr 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers