Individual provider · Type 1 NPI

Daniel Jae Gardner

Peer Specialist · Arapahoe, WY

NPI number 1235005174 Active

Practice location

24 Great Plains Loop
Arapahoe, WY 82510-8903

Mailing address

PO Box 1062
Riverton, WY 82501-0119

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X199 (WY)

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 1235005174

Daniel Jae Gardner's National Provider Identifier is 1235005174, issued on Oct 16, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Arapahoe, WY. The record was last updated on Oct 16, 2025.