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Kevin M Wentzel, CRM
Peer Specialist in Madras, Oregon
NPI 1346829454

Kevin M Wentzel is a Peer Specialist based in Bend, OR. Kevin M Wentzel practices in Madras, OR and has the professional credentials of CRM. The NPI Number for Kevin M Wentzel is 1346829454 and holds a License No. 21-CRM-442 (Oregon).

The current practice location address for Kevin M Wentzel is 125 Sw C St, Madras, OR and can be reached out via phone at 541-777-7847 and via fax at 541-512-7090.

Location: 125 Sw C St, Madras, OR, 97702-3241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346829454
Provider Name
Kevin M Wentzel
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
125 Sw C St, Madras, OR, 97702-3241
Phone Number
541-777-7847
Fax Number
541-512-7090
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-CRM-442 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
125 Sw C St
City
Madras
State
Oregon
Zip
97741-1458
Phone Number
541-777-7847
Fax Number
541-512-7090
person
Provider Business Mailing Address Details
Address
125 Sw C St
City
Madras
State
Oregon
Zip
97741-1458
Phone Number
541-777-7847
Fax Number
541-512-7090
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-442 (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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