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Jaurdyn Leeanne Gilliss
Peer Specialist in Moorhead, Minnesota
NPI 1730810615

Jaurdyn Leeanne Gilliss is a Peer Specialist based in Moorhead, MN. Jaurdyn Leeanne Gilliss practices in Moorhead, MN. The NPI Number for Jaurdyn Leeanne Gilliss is 1730810615 and holds a License No. (Minnesota).

The current practice location address for Jaurdyn Leeanne Gilliss is 2900 5Th St S, Moorhead, MN and can be reached out via phone at 701-306-5986.

Location: 2900 5Th St S, Moorhead, MN, 56560-4966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730810615
Provider Name
Jaurdyn Leeanne Gilliss
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 5Th St S, Moorhead, MN, 56560-4966
Phone Number
701-306-5986
Fax Number
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 5Th St S
City
Moorhead
State
Minnesota
Zip
56560-4966
Phone Number
701-306-5986
Fax Number
person
Provider Business Mailing Address Details
Address
2900 5Th St S
City
Moorhead
State
Minnesota
Zip
56560-4966
Phone Number
701-306-5986
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Minnesota)
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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