Kyle Ezell - Albuquerque, NM

Kyle Ezell

Peer Specialist in Albuquerque, New Mexico

NPI 1437783727

Kyle Ezell is a Peer Specialist based in Albuquerque, NM. Kyle Ezell practices in Albuquerque, NM. The NPI Number for Kyle Ezell is 1437783727 and holds a License No. 1037 (New Mexico).

The current practice location address for Kyle Ezell is 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM and can be reached out via phone at 505-217-1717.

Location: 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM, 87111-2468

NPI Number

1437783727

Provider Name

Kyle Ezell

Credential

Provider Entity Type

Individual

Gender

Male

Address

9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM, 87111-2468

Phone Number

505-217-1717

Fax Number

Provider Enumeration Date

02/26/2020

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1037	01	NM	CPSW CERTIFICATE

Address

9201 Montgomery Blvd Ne Bldg 5

City

Albuquerque

State

New Mexico

Zip

87111-2468

Phone Number

505-217-1717

Fax Number

Address

9201 Montgomery Blvd Ne Bldg 5

City

Albuquerque

State

New Mexico

Zip

87111-2468

Phone Number

505-217-1717

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

1037 (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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