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Matt Gallegos, CPSW
Peer Specialist in Farmington, New Mexico
NPI 1942938337

Matt Gallegos is a Peer Specialist based in Farmington, NM. Matt Gallegos practices in Farmington, NM and has the professional credentials of CPSW. The NPI Number for Matt Gallegos is 1942938337 and holds a License No. (New Mexico).

The current practice location address for Matt Gallegos is 324 W Main St, Farmington, NM and can be reached out via phone at 505-772-9663.

Location: 324 W Main St, Farmington, NM, 87401-8513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942938337
Provider Name
Matt Gallegos
Credential
CPSW
Provider Entity Type
Individual
Gender
Male
Address
324 W Main St, Farmington, NM, 87401-8513
Phone Number
505-772-9663
Fax Number
Provider Enumeration Date
08/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1395 05 NM
institution
Provider Business Practice Location Address Details
Address
324 W Main St
City
Farmington
State
New Mexico
Zip
87401
Phone Number
505-772-9663
Fax Number
person
Provider Business Mailing Address Details
Address
324 W Main St
City
Farmington
State
New Mexico
Zip
87401
Phone Number
505-772-9663
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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