Todd Shannon White I - Albuquerque, NM

Todd Shannon White I

Peer Specialist in Albuquerque, New Mexico

NPI 1538834833

Todd Shannon White I is a Peer Specialist based in Albuquerque, NM. Todd Shannon White I practices in Albuquerque, NM. The NPI Number for Todd Shannon White I is 1538834833 and holds a License No. 1144 (New Mexico).

The current practice location address for Todd Shannon White I is 912 1St St Nw, Albuquerque, NM and can be reached out via phone at 505-224-9777.

Location: 912 1St St Nw, Albuquerque, NM, 87102-2355

NPI Number

1538834833

Provider Name

Todd Shannon White I

Credential

Provider Entity Type

Individual

Gender

Male

Address

912 1St St Nw, Albuquerque, NM, 87102-2355

Phone Number

505-224-9777

Fax Number

Provider Enumeration Date

08/10/2021

Last Update Date

03/10/2024

Address

912 1St St Nw

City

Albuquerque

State

New Mexico

Zip

87102-2355

Phone Number

505-224-9777

Fax Number

Address

912 1St St Nw

City

Albuquerque

State

New Mexico

Zip

87102-2355

Phone Number

505-224-9777

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

1144 (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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