Individual provider · Type 1 NPI
Jaqueline Fales, PEER SUPPORT SPECIAL
Peer Specialist · Cody, WY
NPI number
1962179903
Active
Practice location
707 Sheridan Ave
Cody, WY 82414-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 015 (WY) |
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 1962179903
Jaqueline Fales, PEER SUPPORT SPECIAL's National Provider Identifier is 1962179903, issued on Aug 26, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cody, WY. The record was last updated on Aug 26, 2021.