Individual provider · Type 1 NPI

Hallie Jean Gilmore Gates

Peer Specialist · Poplar Bluff, MO

NPI number 1629880430 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901-5025

Mailing address

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

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 1629880430

Hallie Jean Gilmore Gates's National Provider Identifier is 1629880430, issued on Jan 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jan 21, 2025.