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Michael Kelley Kusek
Peer Specialist in Bend, Oregon
NPI 1023889482

Michael Kelley Kusek is a Peer Specialist based in Bend, OR. Michael Kelley Kusek practices in Bend, OR. The NPI Number for Michael Kelley Kusek is 1023889482 and holds a License No. (Oregon).

The current practice location address for Michael Kelley Kusek is 2577 Ne Courtney Dr, Bend, OR and can be reached out via phone at 541-213-7436.

Location: 2577 Ne Courtney Dr, Bend, OR, 97701-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023889482
Provider Name
Michael Kelley Kusek
Credential
Provider Entity Type
Individual
Gender
Male
Address
2577 Ne Courtney Dr, Bend, OR, 97701-7752
Phone Number
541-213-7436
Fax Number
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2577 Ne Courtney Dr
City
Bend
State
Oregon
Zip
97701-7752
Phone Number
541-213-7436
Fax Number
person
Provider Business Mailing Address Details
Address
2577 Ne Courtney Dr
City
Bend
State
Oregon
Zip
97701-7752
Phone Number
541-213-7436
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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