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Derek Elias Dupriest
Peer Specialist in Rio Rancho, New Mexico
NPI 1477221224

Derek Elias Dupriest is a Peer Specialist based in Rio Rancho, NM. Derek Elias Dupriest practices in Rio Rancho, NM. The NPI Number for Derek Elias Dupriest is 1477221224 and holds a License No. 1199 (New Mexico).

The current practice location address for Derek Elias Dupriest is 4100 Barbara Loop Se, Rio Rancho, NM and can be reached out via phone at 505-261-4782 and via fax at 505-702-8604.

Location: 4100 Barbara Loop Se, Rio Rancho, NM, 87124-0834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477221224
Provider Name
Derek Elias Dupriest
Credential
Provider Entity Type
Individual
Gender
Male
Address
4100 Barbara Loop Se, Rio Rancho, NM, 87124-0834
Phone Number
505-261-4782
Fax Number
505-702-8604
Provider Enumeration Date
09/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4100 Barbara Loop Se
City
Rio Rancho
State
New Mexico
Zip
87124-1000
Phone Number
505-261-4782
Fax Number
505-702-8604
person
Provider Business Mailing Address Details
Address
4100 Barbara Loop Se
City
Rio Rancho
State
New Mexico
Zip
87124-1000
Phone Number
505-261-4782
Fax Number
505-702-8604
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1199 (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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