SearchIdaho104100000X

Raymond Prevost, LMSW

NPI 1831821768 · on the registry since 2022

Practice

Address
427 12th St
Plummer, ID 83851
Phone
(208) 686-1931
Organisation at this address
Benewah Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-29

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