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Destiny Rose Richardson
Peer Specialist in Klamath Falls, Oregon
NPI 1194227280

Destiny Rose Richardson is a Peer Specialist based in Klamath Falls, OR. Destiny Rose Richardson practices in Klamath Falls, OR. The NPI Number for Destiny Rose Richardson is 1194227280 and holds a License No. (Oregon).

The current practice location address for Destiny Rose Richardson is 2210 N Eldorado Ave, Klamath Falls, OR and can be reached out via phone at 541-883-1030.

Location: 2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194227280
Provider Name
Destiny Rose Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
Phone Number
541-883-1030
Fax Number
Provider Enumeration Date
03/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2210 N Eldorado Ave
City
Klamath Falls
State
Oregon
Zip
97601-6418
Phone Number
541-883-1030
Fax Number
person
Provider Business Mailing Address Details
Address
2210 N Eldorado Ave
City
Klamath Falls
State
Oregon
Zip
97601-6418
Phone Number
541-883-1030
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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