Individual provider · Type 1 NPI
Jennifer Michelle Fast Wolf
Counselor · Gallup, NM
NPI number
1487125076
Active
Practice location
111 S Second St
Gallup, NM 87301-6219
Mailing address
138 E 960 S Apt S102
Vernal, UT 84078-3396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
Other counselor providers in Gallup
About NPI 1487125076
Jennifer Michelle Fast Wolf's National Provider Identifier is 1487125076, issued on Dec 8, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gallup, NM. The record was last updated on Dec 8, 2018.