Individual provider · Type 1 NPI
Madonna Lee Kienlen, PEER SPECIALIST
Peer Specialist · Fort Washakie, WY
NPI number
1982116794
Active
Practice location
215 Ethete Road
Fort Washakie, WY 82514
Fax (307) 335-8299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 2017-004-MM (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.
Other peer specialist providers in Fort Washakie
About NPI 1982116794
Madonna Lee Kienlen, PEER SPECIALIST's National Provider Identifier is 1982116794, issued on Nov 2, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fort Washakie, WY. The record was last updated on Nov 2, 2017.