Individual provider · Type 1 NPI

Miriam Enid Dedos

Peer Specialist · Pueblo, CO

NPI number 1265390215 Active

Practice location

2429 S Prairie Ave
Pueblo, CO 81005-2886

Fax (719) 896-2874

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 1265390215

Miriam Enid Dedos's National Provider Identifier is 1265390215, issued on Jan 9, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pueblo, CO. The record was last updated on Jan 9, 2026.