person
Katana Wolf, PEERSUPPORTWORKER
Peer Specialist in Las Cruces, New Mexico
NPI 1922630755

Katana Wolf is a Peer Specialist based in Las Cruces, NM. Katana Wolf practices in Las Cruces, NM and has the professional credentials of PEERSUPPORTWORKER. The NPI Number for Katana Wolf is 1922630755 and holds a License No. 1046 (New Mexico).

The current practice location address for Katana Wolf is 105 W Griggs Ave, Las Cruces, NM and can be reached out via phone at 575-647-2879 and via fax at 575-647-2898.

Location: 105 W Griggs Ave, Las Cruces, NM, 88005-3423
person
Provider Profile Details
NPI Number
1922630755
Provider Name
Katana Wolf
Credential
PEERSUPPORTWORKER
Provider Entity Type
Individual
Gender
Female
Address
105 W Griggs Ave, Las Cruces, NM, 88005-3423
Phone Number
575-647-2879
Fax Number
575-647-2898
Provider Enumeration Date
02/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 W Griggs Ave
City
State
Zip
88001-1235
Phone Number
575-647-2879
Fax Number
575-647-2898
person
Provider Business Mailing Address Details
Address
105 W Griggs Ave
City
State
Zip
88001-1235
Phone Number
575-647-2879
Fax Number
575-647-2898
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
1046 (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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