Nicole Adelle Lane, PSS - Eugene, OR

Nicole Adelle Lane, PSS

Peer Specialist in Eugene, Oregon

NPI 1366964041

Nicole Adelle Lane is a Peer Specialist based in Eugene, OR. Nicole Adelle Lane practices in Eugene, OR and has the professional credentials of PSS. The NPI Number for Nicole Adelle Lane is 1366964041 and holds a License No. THW0001929 (Oregon).

The current practice location address for Nicole Adelle Lane is 261 E 12Th Ave, Eugene, OR and can be reached out via phone at 541-342-8437 and via fax at 541-242-2999.

Location: 261 E 12Th Ave, Eugene, OR, 97401-3238

NPI Number

1366964041

Provider Name

Nicole Adelle Lane

Credential

PSS

Provider Entity Type

Individual

Gender

Female

Address

261 E 12Th Ave, Eugene, OR, 97401-3238

Phone Number

541-342-8437

Fax Number

541-242-2999

Provider Enumeration Date

07/13/2017

Last Update Date

11/16/2024

Address

261 E 12Th Ave

City

Eugene

State

Oregon

Zip

97401-3208

Phone Number

541-342-8437

Fax Number

541-242-2999

Address

261 E 12Th Ave

City

Eugene

State

Oregon

Zip

97401-3208

Phone Number

541-342-8437

Fax Number

541-242-2999

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW0001929 (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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