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Tina Spencer
Peer Specialist in Gallup, New Mexico
NPI 1578262168

Tina Spencer is a Peer Specialist based in Yatahey, NM. Tina Spencer practices in Gallup, NM. The NPI Number for Tina Spencer is 1578262168 and holds a License No. 1416 (New Mexico).

The current practice location address for Tina Spencer is 2105 Hasler Valley Road, Gallup, NM and can be reached out via phone at 505-413-3447 and via fax at 505-808-4929.

Location: 2105 Hasler Valley Road, Gallup, NM, 87375-3902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578262168
Provider Name
Tina Spencer
Credential
Provider Entity Type
Individual
Gender
Female
Address
2105 Hasler Valley Road, Gallup, NM, 87375-3902
Phone Number
505-413-3447
Fax Number
505-808-4929
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 Hasler Valley Road
City
Gallup
State
New Mexico
Zip
87301-8730
Phone Number
505-413-3447
Fax Number
505-808-4929
person
Provider Business Mailing Address Details
Address
2105 Hasler Valley Road
City
Gallup
State
New Mexico
Zip
87301-8730
Phone Number
505-413-3447
Fax Number
505-808-4929
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1416 (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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