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Ivanna Rebecca Pengelley
Peer Specialist in Tallahassee, Florida
NPI 1275185993

Ivanna Rebecca Pengelley is a Peer Specialist based in Tallahassee, FL. Ivanna Rebecca Pengelley practices in Tallahassee, FL. The NPI Number for Ivanna Rebecca Pengelley is 1275185993 and holds a License No. (Florida).

The current practice location address for Ivanna Rebecca Pengelley is 2110 S Gadsden St, Tallahassee, FL and can be reached out via phone at 561-309-9746.

Location: 2110 S Gadsden St, Tallahassee, FL, 32301-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275185993
Provider Name
Ivanna Rebecca Pengelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2110 S Gadsden St, Tallahassee, FL, 32301-5513
Phone Number
561-309-9746
Fax Number
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2110 S Gadsden St
City
Tallahassee
State
Florida
Zip
32301-5513
Phone Number
561-309-9746
Fax Number
person
Provider Business Mailing Address Details
Address
2110 S Gadsden St
City
Tallahassee
State
Florida
Zip
32301-5513
Phone Number
561-309-9746
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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