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Kisty Ann Baty, CRM
Peer Specialist in Prineville, Oregon
NPI 1285225664

Kisty Ann Baty is a Peer Specialist based in Prineville, OR. Kisty Ann Baty practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Kisty Ann Baty is 1285225664 and holds a License No. 21-CRM-331 (Oregon).

The current practice location address for Kisty Ann Baty is 357 Ne Court St, Prineville, OR and can be reached out via phone at 541-504-7535 and via fax at 541-504-7535.

Location: 357 Ne Court St, Prineville, OR, 97754-0470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285225664
Provider Name
Kisty Ann Baty
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
357 Ne Court St, Prineville, OR, 97754-0470
Phone Number
541-504-7535
Fax Number
541-504-7535
Provider Enumeration Date
01/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-CRM-331 01 OR CRM CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
357 Ne Court St
City
Prineville
State
Oregon
Zip
97754-1936
Phone Number
541-504-7535
Fax Number
541-504-7535
person
Provider Business Mailing Address Details
Address
357 Ne Court St
City
Prineville
State
Oregon
Zip
97754-1936
Phone Number
541-504-7535
Fax Number
541-504-7535
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-331 (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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