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Devon Gary
Peer Specialist in Medford, Oregon
NPI 1184352460

Devon Gary is a Peer Specialist based in Grants Pass, OR. Devon Gary practices in Medford, OR. The NPI Number for Devon Gary is 1184352460 and holds a License No. (Oregon).

The current practice location address for Devon Gary is 10 Crater Lake Ave, Medford, OR and can be reached out via phone at 541-772-0127 and via fax at 541-772-0966.

Location: 10 Crater Lake Ave, Medford, OR, 97527-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184352460
Provider Name
Devon Gary
Credential
Provider Entity Type
Individual
Gender
Male
Address
10 Crater Lake Ave, Medford, OR, 97527-5700
Phone Number
541-772-0127
Fax Number
541-772-0966
Provider Enumeration Date
08/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-7445
Phone Number
541-772-0127
Fax Number
541-772-0966
person
Provider Business Mailing Address Details
Address
10 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-7445
Phone Number
541-772-0127
Fax Number
541-772-0966
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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