Juan Lopez
Juan Lopez is a Peer Specialist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2025.
- Licensed in
- ID
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
148 S Cole RdBoise, ID 83709-0932
Phone: (208) 683-8320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (ID) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X (ID) |
Record details
| NPI number | 1205705928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 31, 2025 |
| Last updated in NPPES | October 31, 2025 |
| Certification date | October 31, 2025 |
| Mailing address | 148 S Cole Rd, Boise, ID 83709-0932 |
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