Individual provider · Type 1 NPI

Jason A. Gonsalves

Peer Specialist · Wasilla, AK

NPI number 1063294072 Active

Practice location

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1063294072

Jason A. Gonsalves's National Provider Identifier is 1063294072, issued on Oct 16, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Oct 16, 2023.