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William Anthony Burrola, CPSW
Peer Specialist in Gallup, New Mexico
NPI 1326639378

William Anthony Burrola is a Peer Specialist based in Thoreau, NM. William Anthony Burrola practices in Gallup, NM and has the professional credentials of CPSW. The NPI Number for William Anthony Burrola is 1326639378 and holds a License No. 890 (New Mexico).

The current practice location address for William Anthony Burrola is 2105 Hassler Valley Rd, Gallup, NM and can be reached out via phone at 505-413-3447.

Location: 2105 Hassler Valley Rd, Gallup, NM, 87323-4002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326639378
Provider Name
William Anthony Burrola
Credential
CPSW
Provider Entity Type
Individual
Gender
Male
Address
2105 Hassler Valley Rd, Gallup, NM, 87323-4002
Phone Number
505-413-3447
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 Hassler Valley Rd
City
Gallup
State
New Mexico
Zip
87301
Phone Number
505-413-3447
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Hassler Valley Rd
City
Gallup
State
New Mexico
Zip
87301
Phone Number
505-413-3447
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
890 (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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