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Leticia Parra Aguilar, SUPPORTSTAFF
Peer Specialist in Medford, Oregon
NPI 1093358194

Leticia Parra Aguilar is a Peer Specialist based in Medford, OR. Leticia Parra Aguilar practices in Medford, OR and has the professional credentials of SUPPORTSTAFF. The NPI Number for Leticia Parra Aguilar is 1093358194 and holds a License No. (Oregon).

The current practice location address for Leticia Parra Aguilar is 1003 E Main St Ste 104, Medford, OR and can be reached out via phone at 541-779-1282.

Location: 1003 E Main St Ste 104, Medford, OR, 97504-7140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093358194
Provider Name
Leticia Parra Aguilar
Credential
SUPPORTSTAFF
Provider Entity Type
Individual
Gender
Female
Address
1003 E Main St Ste 104, Medford, OR, 97504-7140
Phone Number
541-779-1282
Fax Number
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 E Main St Ste 104
City
Medford
State
Oregon
Zip
97504-7140
Phone Number
541-779-1282
Fax Number
person
Provider Business Mailing Address Details
Address
1003 E Main St Ste 104
City
Medford
State
Oregon
Zip
97504-7140
Phone Number
541-779-1282
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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