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Denise Ginny Wickert
Peer Specialist in Pendleton, Oregon
NPI 1265892111

Denise Ginny Wickert is a Peer Specialist based in Pendleton, OR. Denise Ginny Wickert practices in Pendleton, OR. The NPI Number for Denise Ginny Wickert is 1265892111 and holds a License No. (Oregon).

The current practice location address for Denise Ginny Wickert is 73265 Confederated Way, Pendleton, OR and can be reached out via phone at 541-966-9830 and via fax at 541-278-7568.

Location: 73265 Confederated Way, Pendleton, OR, 97801-9099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265892111
Provider Name
Denise Ginny Wickert
Credential
Provider Entity Type
Individual
Gender
Female
Address
73265 Confederated Way, Pendleton, OR, 97801-9099
Phone Number
541-966-9830
Fax Number
541-278-7568
Provider Enumeration Date
03/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
73265 Confederated Way
City
Pendleton
State
Oregon
Zip
97801-9099
Phone Number
541-966-9830
Fax Number
541-278-7568
person
Provider Business Mailing Address Details
Address
73265 Confederated Way
City
Pendleton
State
Oregon
Zip
97801-9099
Phone Number
541-966-9830
Fax Number
541-278-7568
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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