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Michelle Carmen Dale
Peer Specialist in Ganado, Arizona
NPI 1528758695

Michelle Carmen Dale is a Peer Specialist based in St Michaels, AZ. Michelle Carmen Dale practices in Ganado, AZ. The NPI Number for Michelle Carmen Dale is 1528758695 and holds a License No. UA2022082509 (Arizona).

The current practice location address for Michelle Carmen Dale is Sr 264 & Hwy 191, Ganado, AZ and can be reached out via phone at 928-755-4586 and via fax at 928-755-4747.

Location: Sr 264 & Hwy 191, Ganado, AZ, 86511-0364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528758695
Provider Name
Michelle Carmen Dale
Credential
Provider Entity Type
Individual
Gender
Female
Address
Sr 264 & Hwy 191, Ganado, AZ, 86511-0364
Phone Number
928-755-4586
Fax Number
928-755-4747
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Sr 264 & Hwy 191
City
Ganado
State
Arizona
Zip
86505
Phone Number
928-755-4586
Fax Number
928-755-4747
person
Provider Business Mailing Address Details
Address
Sr 264 & Hwy 191
City
Ganado
State
Arizona
Zip
86505
Phone Number
928-755-4586
Fax Number
928-755-4747
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
UA2022082509 (Arizona)
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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