JAQUELINE FALES, PEER SUPPORT SPECIAL CODY, WY

Contact Information

JAQUELINE FALES, PEER SUPPORT SPECIAL

707 SHERIDAN AVE
CODY, WY 82414-3409

Phone: 307-250-7063
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Other Service Providers	175T00000X

Indicates primary specialty

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NPI Profile & details for JAQUELINE FALES · (Female)

NPI #	`1962179903`
Status	Active
Credentials	PEER SUPPORT SPECIAL
Entity	Individual
Enumeration date	08/26/2021
Last updated	08/26/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	WY License # 015
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JAQUELINE FALES, PEER SUPPORT SPECIAL – NPI #1962179903Other Service Providers

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Other Service Providers

NPI Profile & details for JAQUELINE FALES · (Female)

Reviews for JAQUELINE FALES

JAQUELINE FALES, PEER SUPPORT SPECIAL – NPI #1962179903
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