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Mckayla Shae Thornwall
Peer Specialist in Lafayette, Colorado
NPI 1912694506

Mckayla Shae Thornwall is a Peer Specialist based in Lafayette, CO. Mckayla Shae Thornwall practices in Lafayette, CO. The NPI Number for Mckayla Shae Thornwall is 1912694506 and holds a License No. (Colorado).

The current practice location address for Mckayla Shae Thornwall is 1455 Dixon Ave, Lafayette, CO and can be reached out via phone at 385-244-6513. You can also correspond with Mckayla Shae Thornwall through the mailing address at 1455 DIXON AVE, LAFAYETTE, CO - 80026-8879 (mailing address contact number: 385-244-6513).

Location: 1455 Dixon Ave, Lafayette, CO, 80026-8879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912694506
Provider Name
Mckayla Shae Thornwall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1455 Dixon Ave, Lafayette, CO, 80026-8879
Phone Number
385-244-6513
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1455 Dixon Ave
City
Lafayette
State
Colorado
Zip
80026-8879
Phone Number
385-244-6513
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Dixon Ave
City
Lafayette
State
Colorado
Zip
80026-8879
Phone Number
385-244-6513
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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