Individual provider · Type 1 NPI

Ansel White Eagle Jr.

Peer Specialist · Bismarck, ND

NPI number 1740977867 Active

Practice location

1308 Elbowood Ln
Bismarck, ND 58503-5712

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 1740977867

Ansel White Eagle Jr.'s National Provider Identifier is 1740977867, issued on Apr 19, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bismarck, ND. The record was last updated on Apr 19, 2023.