Jaqueline Fales, PEERSUPPORTSPECIAL
Jaqueline Fales, PEERSUPPORTSPECIAL is a Peer Specialist in Cody, Wyoming. Licensed in Wyoming. Registered with an NPI since 2021.
- Licensed in
- WY
- In the registry since
- 2021
Practice location Address checks out
707 Sheridan AveCody, WY 82414-3409
Phone: (307) 250-7063
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 015 (WY) |
|---|
Record details
| NPI number | 1962179903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PEERSUPPORTSPECIAL |
| Sole proprietor | No |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | August 26, 2021 |
| Certification date | August 26, 2021 |
Other providers in Cody
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Eboni Shantelle Jackson
707 Sheridan Ave, Cody, WY 82414-3409 · (307) 578-2486