Individual provider · Type 1 NPI
William Anthony Burrola, CPSW
Peer Specialist · Gallup, NM
NPI number
1326639378
Active
Practice location
2105 Hassler Valley Rd
Gallup, NM 87301
Mailing address
19 Bluegill Dr
Thoreau, NM 87323-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 890 (NM) |
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 1326639378
William Anthony Burrola, CPSW's National Provider Identifier is 1326639378, issued on Feb 2, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gallup, NM. The record was last updated on Feb 2, 2021.