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Chenoa Lorraine Bostick
Peer Specialist in Junction City, Oregon
NPI 1265888127

Chenoa Lorraine Bostick is a Peer Specialist based in Medford, OR. Chenoa Lorraine Bostick practices in Junction City, OR. The NPI Number for Chenoa Lorraine Bostick is 1265888127 and holds a License No. (Oregon).

The current practice location address for Chenoa Lorraine Bostick is 29398 Recovery Way Ste 3, Junction City, OR and can be reached out via phone at 541-995-2221 and via fax at 541-995-2271.

Location: 29398 Recovery Way Ste 3, Junction City, OR, 97504-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265888127
Provider Name
Chenoa Lorraine Bostick
Credential
Provider Entity Type
Individual
Gender
Female
Address
29398 Recovery Way Ste 3, Junction City, OR, 97504-4004
Phone Number
541-995-2221
Fax Number
541-995-2271
Provider Enumeration Date
05/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29398 Recovery Way Ste 3
City
Junction City
State
Oregon
Zip
97448-8447
Phone Number
541-995-2221
Fax Number
541-995-2271
person
Provider Business Mailing Address Details
Address
29398 Recovery Way Ste 3
City
Junction City
State
Oregon
Zip
97448-8447
Phone Number
541-995-2221
Fax Number
541-995-2271
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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