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Wood M Palmer
Peer Specialist in Jackson, Wyoming
NPI 1144836271

Wood M Palmer is a Peer Specialist based in Jackson, WY. Wood M Palmer practices in Jackson, WY. The NPI Number for Wood M Palmer is 1144836271 and holds a License No. DS-2020-057 (Wyoming).

The current practice location address for Wood M Palmer is 610 W Broadway Ave Ste L1, Jackson, WY and can be reached out via phone at 307-733-3908 and via fax at 307-734-0017. You can also correspond with Wood M Palmer through the mailing address at PO BOX 11390, JACKSON, WY - 83002-1390 (mailing address contact number: 307-733-3908).

Location: 610 W Broadway Ave Ste L1, Jackson, WY, 83002-1390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144836271
Provider Name
Wood M Palmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
610 W Broadway Ave Ste L1, Jackson, WY, 83002-1390
Phone Number
307-733-3908
Fax Number
307-734-0017
Provider Enumeration Date
09/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 W Broadway Ave Ste L1
City
Jackson
State
Wyoming
Zip
83001-8213
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider Business Mailing Address Details
Address
610 W Broadway Ave Ste L1
City
Jackson
State
Wyoming
Zip
83001-8213
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
DS-2020-057 (Wyoming)
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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