person
Carolyn Lucille Consoli
Peer Specialist in Corvallis, Oregon
NPI 1063605095

Carolyn Lucille Consoli is a Peer Specialist based in Corvallis, OR. Carolyn Lucille Consoli practices in Corvallis, OR. The NPI Number for Carolyn Lucille Consoli is 1063605095 and holds a License No. THW0001880 (Oregon).

The current practice location address for Carolyn Lucille Consoli is 530 Nw 27Th St, Corvallis, OR and can be reached out via phone at 541-766-6835 and via fax at 541-766-6186.

Location: 530 Nw 27Th St, Corvallis, OR, 97330-5223
person
Provider Profile Details
NPI Number
1063605095
Provider Name
Carolyn Lucille Consoli
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Nw 27Th St, Corvallis, OR, 97330-5223
Phone Number
541-766-6835
Fax Number
541-766-6186
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500732717 05 OR
500700084 05 OR
institution
Provider Business Practice Location Address Details
Address
530 Nw 27Th St
City
State
Zip
97330-5223
Phone Number
541-766-6835
Fax Number
541-766-6186
person
Provider Business Mailing Address Details
Address
530 Nw 27Th St
City
State
Zip
97330-5223
Phone Number
541-766-6835
Fax Number
541-766-6186
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW0001880 (Oregon)
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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