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Ms. Charlynn Marie Gillam
Peer Specialist in Mojave, California
NPI 1174293294

Charlynn Marie Gillam is a Peer Specialist based in Mojave, CA. Charlynn Marie Gillam practices in Mojave, CA. The NPI Number for Charlynn Marie Gillam is 1174293294 and holds a License No. (California).

The current practice location address for Charlynn Marie Gillam is 16940 Highway 14 Ste C-F, Mojave, CA and can be reached out via phone at 661-824-5020.

Location: 16940 Highway 14 Ste C-F, Mojave, CA, 93501-1238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174293294
Provider Name
Charlynn Marie Gillam
Credential
Provider Entity Type
Individual
Gender
Female
Address
16940 Highway 14 Ste C-F, Mojave, CA, 93501-1238
Phone Number
661-824-5020
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16940 Highway 14 Ste C-F
City
Mojave
State
California
Zip
93501-1238
Phone Number
661-824-5020
Fax Number
person
Provider Business Mailing Address Details
Address
16940 Highway 14 Ste C-F
City
Mojave
State
California
Zip
93501-1238
Phone Number
661-824-5020
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
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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