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Amanda Lynn Mock
Peer Specialist in Medford, Oregon
NPI 1124750864

Amanda Lynn Mock is a Peer Specialist based in Grants Pass, OR. Amanda Lynn Mock practices in Medford, OR. The NPI Number for Amanda Lynn Mock is 1124750864 and holds a License No. (Oregon).

The current practice location address for Amanda Lynn Mock is 200 Beatty St, Medford, OR and can be reached out via phone at 541-476-2373 and via fax at 541-476-1526.

Location: 200 Beatty St, Medford, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124750864
Provider Name
Amanda Lynn Mock
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Beatty St, Medford, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
541-476-1526
Provider Enumeration Date
06/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Beatty St
City
Medford
State
Oregon
Zip
97501-5811
Phone Number
541-476-2373
Fax Number
541-476-1526
person
Provider Business Mailing Address Details
Address
200 Beatty St
City
Medford
State
Oregon
Zip
97501-5811
Phone Number
541-476-2373
Fax Number
541-476-1526
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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