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Carolynne Michele Erickson
Peer Specialist in Bend, Oregon
NPI 1124803515

Carolynne Michele Erickson is a Peer Specialist based in Bend, OR. Carolynne Michele Erickson practices in Bend, OR. The NPI Number for Carolynne Michele Erickson is 1124803515 and holds a License No. (Oregon).

The current practice location address for Carolynne Michele Erickson is 1900 Ne Division St Ste 201, Bend, OR and can be reached out via phone at 541-516-6330.

Location: 1900 Ne Division St Ste 201, Bend, OR, 97701-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124803515
Provider Name
Carolynne Michele Erickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 Ne Division St Ste 201, Bend, OR, 97701-3572
Phone Number
541-516-6330
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Ne Division St Ste 201
City
Bend
State
Oregon
Zip
97701-3572
Phone Number
541-516-6330
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Ne Division St Ste 201
City
Bend
State
Oregon
Zip
97701-3572
Phone Number
541-516-6330
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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