Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammy Park, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669895025

Tammy Park, CADC is an Addiction (Substance Use Disorder) Counselor in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853
Phone: (208) 736-5048
Fax: (208) 735-2126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1144008 (ID)

Record details

NPI number1669895025
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC
Sole proprietorNo
NPI enumeratedJanuary 21, 2014
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address630 Addison Ave W Ste 1000, Twin Falls, ID 83301-5853

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