Individual provider · Type 1 NPI

Charlynn Marie Gillam

Peer Specialist · Mojave, CA

NPI number 1174293294 Active

Practice location

16940 Highway 14 Ste C-F
Mojave, CA 93501-1238

Call (661) 824-5020 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
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 1174293294

Charlynn Marie Gillam's National Provider Identifier is 1174293294, issued on Sep 20, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mojave, CA. The record was last updated on Jul 12, 2023.