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Ms. Jaylyn Denise Randles, CPSW
Peer Specialist in Gallup, New Mexico
NPI 1962269118

Jaylyn Denise Randles is a Peer Specialist based in Gallup, NM. Jaylyn Denise Randles practices in Gallup, NM and has the professional credentials of CPSW. The NPI Number for Jaylyn Denise Randles is 1962269118 and holds a License No. 1456 (New Mexico).

The current practice location address for Jaylyn Denise Randles is 2111 College Dr, Gallup, NM and can be reached out via phone at 505-879-5655.

Location: 2111 College Dr, Gallup, NM, 87301-5600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962269118
Provider Name
Jaylyn Denise Randles
Credential
CPSW
Provider Entity Type
Individual
Gender
Female
Address
2111 College Dr, Gallup, NM, 87301-5600
Phone Number
505-879-5655
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2111 College Dr
City
Gallup
State
New Mexico
Zip
87301-5600
Phone Number
505-879-5655
Fax Number
person
Provider Business Mailing Address Details
Address
2111 College Dr
City
Gallup
State
New Mexico
Zip
87301-5600
Phone Number
505-879-5655
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1456 (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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