SearchIdahoCommunity/Behavioral Health Agency

Raina Soteros

NPI 1134096019 · on the registry since 2025 · sole proprietor

Practice

Address
4565 Frozen Dog Rd
Emmett, ID 83617
Phone
(909) 706-7918

Registry record

Primary taxonomy
Community/Behavioral Health Agency
251S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho