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Dalton Randy Reynolds
Peer Specialist in Carlsbad, New Mexico
NPI 1104699354

Dalton Randy Reynolds is a Peer Specialist based in Carlsbad, NM. Dalton Randy Reynolds practices in Carlsbad, NM. The NPI Number for Dalton Randy Reynolds is 1104699354 and holds a License No. (New Mexico).

The current practice location address for Dalton Randy Reynolds is 1900 Westridge Rd, Carlsbad, NM and can be reached out via phone at 575-725-5552 and via fax at 575-725-5552.

Location: 1900 Westridge Rd, Carlsbad, NM, 88221-3141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104699354
Provider Name
Dalton Randy Reynolds
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 Westridge Rd, Carlsbad, NM, 88221-3141
Phone Number
575-725-5552
Fax Number
575-725-5552
Provider Enumeration Date
10/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Westridge Rd
City
Carlsbad
State
New Mexico
Zip
88220-3550
Phone Number
575-725-5552
Fax Number
575-725-5552
person
Provider Business Mailing Address Details
Address
1900 Westridge Rd
City
Carlsbad
State
New Mexico
Zip
88220-3550
Phone Number
575-725-5552
Fax Number
575-725-5552
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(New Mexico)
Definition
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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