National Provider Identifier Database

MADONNA L KIENLEN, PEER SPECIALIST – NPI #1982116794
Other Service Providers

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.


Contact Information

MADONNA L KIENLEN, PEER SPECIALIST
215 ETHETE ROAD
FORT WASHAKIE, WY82514
Phone: 307-335-8374
Fax: 307-335-8299
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X

* Indicates primary specialty

NPI Profile & details for MADONNA L KIENLEN

NPI Number 1982116794
Credentials PEER SPECIALIST
Entity Individual
Enumeration date 11/02/2017
Last updated 11/02/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • WY License #: 2017-004-MM
Hospital affiliation n/a

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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