Lisa Kennedy is a Peer Specialist based in Grants Pass, OR. Lisa Kennedy practices in Grants Pass, OR. The NPI Number for Lisa Kennedy is 1134752579 and holds a License No. (Oregon).
The current practice location address for Lisa Kennedy is 132 Ne B St # 24, Grants Pass, OR and can be reached out via phone at 541-246-0652.
Location: 132 Ne B St # 24, Grants Pass, OR, 97526-2114
Provider Profile Details
NPI Number
1134752579
Provider Name
Lisa Kennedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
132 Ne B St # 24, Grants Pass, OR, 97526-2114
Phone Number
541-246-0652
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
132 Ne B St # 24
City
State
Zip
97526-2114
Phone Number
541-246-0652
Fax Number
Provider Business Mailing Address Details
Address
132 Ne B St # 24
City
State
Zip
97526-2114
Phone Number
541-246-0652
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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