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Ms. Sheila S Jordan, MMGT,CHCP,PSS
Peer Specialist in Bend, Oregon
NPI 1134706955

Sheila S Jordan is a Peer Specialist based in Bend, OR. Sheila S Jordan practices in Bend, OR and has the professional credentials of MMGT,CHCP,PSS. The NPI Number for Sheila S Jordan is 1134706955 and holds a License No. THW000104644 (Oregon).

The current practice location address for Sheila S Jordan is 1017 Ne Marion Pl, Bend, OR and can be reached out via phone at 541-728-1991.

Location: 1017 Ne Marion Pl, Bend, OR, 97701-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134706955
Provider Name
Sheila S Jordan
Credential
MMGT,CHCP,PSS
Provider Entity Type
Individual
Gender
Female
Address
1017 Ne Marion Pl, Bend, OR, 97701-3726
Phone Number
541-728-1991
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000104644 01 OR REGISTRATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1017 Ne Marion Pl
City
Bend
State
Oregon
Zip
97701-3726
Phone Number
541-728-1991
Fax Number
person
Provider Business Mailing Address Details
Address
1017 Ne Marion Pl
City
Bend
State
Oregon
Zip
97701-3726
Phone Number
541-728-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000104644 (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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