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Kyla M Mccormick, CRM
Peer Specialist in Grants Pass, Oregon
NPI 1205476777

Kyla M Mccormick is a Peer Specialist based in Grants Pass, OR. Kyla M Mccormick practices in Grants Pass, OR and has the professional credentials of CRM. The NPI Number for Kyla M Mccormick is 1205476777 and holds a License No. 19-CRM-273 (Oregon).

The current practice location address for Kyla M Mccormick is 109 Nw Manzanita Avenue, Grants Pass, OR and can be reached out via phone at 541-479-8847.

Location: 109 Nw Manzanita Avenue, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205476777
Provider Name
Kyla M Mccormick
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
109 Nw Manzanita Avenue, Grants Pass, OR, 97526-2544
Phone Number
541-479-8847
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Nw Manzanita Avenue
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-479-8847
Fax Number
person
Provider Business Mailing Address Details
Address
109 Nw Manzanita Avenue
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-479-8847
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19-CRM-273 (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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