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Terry Goldsworthy, PEERSUPPORT
Peer Specialist in Roseburg, Oregon
NPI 1376996140

Terry Goldsworthy is a Peer Specialist based in Roseburg, OR. Terry Goldsworthy practices in Roseburg, OR and has the professional credentials of PEERSUPPORT. The NPI Number for Terry Goldsworthy is 1376996140 and holds a License No. (Oregon).

The current practice location address for Terry Goldsworthy is 1600 Nw Garden Valley Blvd, Roseburg, OR and can be reached out via phone at 541-440-3532.

Location: 1600 Nw Garden Valley Blvd, Roseburg, OR, 97471-8700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376996140
Provider Name
Terry Goldsworthy
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Male
Address
1600 Nw Garden Valley Blvd, Roseburg, OR, 97471-8700
Phone Number
541-440-3532
Fax Number
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 Nw Garden Valley Blvd
City
Roseburg
State
Oregon
Zip
97471-8700
Phone Number
541-440-3532
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Nw Garden Valley Blvd
City
Roseburg
State
Oregon
Zip
97471-8700
Phone Number
541-440-3532
Fax Number
person
Provider's Taxonomy Details 1
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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