person
Ms. Kolleen Marie Wynn-gallipeau, CERTIFIEDPEERSUPP
Peer Specialist in Pocatello, Idaho
NPI 1184113482

Kolleen Marie Wynn-gallipeau is a Peer Specialist based in Pocatello, ID. Kolleen Marie Wynn-gallipeau practices in Pocatello, ID and has the professional credentials of CERTIFIEDPEERSUPP. The NPI Number for Kolleen Marie Wynn-gallipeau is 1184113482 and holds a License No. (Idaho).

The current practice location address for Kolleen Marie Wynn-gallipeau is 444 Hospital Way Ste 447, Pocatello, ID and can be reached out via phone at 208-233-7832 and via fax at 208-233-7835.

Location: 444 Hospital Way Ste 447, Pocatello, ID, 83201-2744
person
Provider Profile Details
NPI Number
1184113482
Provider Name
Kolleen Marie Wynn-gallipeau
Credential
CERTIFIEDPEERSUPP
Provider Entity Type
Individual
Gender
Female
Address
444 Hospital Way Ste 447, Pocatello, ID, 83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 447
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 447
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Idaho)
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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