Angel Polanco, NPI 1952039265
Peer Specialist in Taos, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1952039265
NPI Entity Type Individual
Provider Name Angel Polanco
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 105 Bertha Rd, Taos, NM, US
Provider Mailing Address 3003 Transport St Se, Albuquerque, NM, US, 871064307
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

175T00000X

Taxonomy Name Peer Specialist
Classification

Peer Specialist

Group

Other Service Providers

Description 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.

Business Address

Angel Polanco
105 Bertha Rd

Taos, NM, US

Phone: 575-758-4297

Mailing Address

Angel Polanco
3003 Transport St Se
Albuquerque, NM, US
ZIP 871064307
Phone: 575-770-6697

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Organization

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RN MS MPA PMHNP-BC Dawn O'keefe

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Juliet Ulibarri

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