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Letina Rae Azure, PEERSUPPORTSPECIAL
Peer Specialist in Belcourt, North Dakota
NPI 1144081332

Letina Rae Azure is a Peer Specialist based in Belcourt, ND. Letina Rae Azure practices in Belcourt, ND and has the professional credentials of PEERSUPPORTSPECIAL. The NPI Number for Letina Rae Azure is 1144081332 and holds a License No. (North Dakota).

The current practice location address for Letina Rae Azure is 340 Red Road Dr, Belcourt, ND and can be reached out via phone at 701-477-8931.

Location: 340 Red Road Dr, Belcourt, ND, 58316-0874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144081332
Provider Name
Letina Rae Azure
Credential
PEERSUPPORTSPECIAL
Provider Entity Type
Individual
Gender
Female
Address
340 Red Road Dr, Belcourt, ND, 58316-0874
Phone Number
701-477-8931
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Red Road Dr
City
Belcourt
State
North Dakota
Zip
58316
Phone Number
701-477-8931
Fax Number
person
Provider Business Mailing Address Details
Address
340 Red Road Dr
City
Belcourt
State
North Dakota
Zip
58316
Phone Number
701-477-8931
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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