person
Taylor Earnest Domek, CPSW
Peer Specialist in Las Cruces, New Mexico
NPI 1528825189

Taylor Earnest Domek is a Peer Specialist based in Las Cruces, NM. Taylor Earnest Domek practices in Las Cruces, NM and has the professional credentials of CPSW. The NPI Number for Taylor Earnest Domek is 1528825189 and holds a License No. 1701 (New Mexico).

The current practice location address for Taylor Earnest Domek is 999 W Amador Ave Ste A, Las Cruces, NM and can be reached out via phone at 575-527-5482 and via fax at 575-652-4243.

Location: 999 W Amador Ave Ste A, Las Cruces, NM, 88004-2243
person
Provider Profile Details
NPI Number
1528825189
Provider Name
Taylor Earnest Domek
Credential
CPSW
Provider Entity Type
Individual
Gender
Male
Address
999 W Amador Ave Ste A, Las Cruces, NM, 88004-2243
Phone Number
575-527-5482
Fax Number
575-652-4243
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
999 W Amador Ave Ste A
City
State
Zip
88005-2739
Phone Number
575-527-5482
Fax Number
575-652-4243
person
Provider Business Mailing Address Details
Address
999 W Amador Ave Ste A
City
State
Zip
88005-2739
Phone Number
575-527-5482
Fax Number
575-652-4243
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
1701 (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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