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Alysse Lynette Kelly, CRM
Peer Specialist in Phoenix, Oregon
NPI 1386284685

Alysse Lynette Kelly is a Peer Specialist based in Phoenix, OR. Alysse Lynette Kelly practices in Phoenix, OR and has the professional credentials of CRM. The NPI Number for Alysse Lynette Kelly is 1386284685 and holds a License No. (Oregon).

The current practice location address for Alysse Lynette Kelly is 149 S Main St, Phoenix, OR and can be reached out via phone at 541-535-4133. You can also correspond with Alysse Lynette Kelly through the mailing address at PO BOX 1257, PHOENIX, OR - 97535-1257 (mailing address contact number: 541-535-4133).

Location: 149 S Main St, Phoenix, OR, 97535-1257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386284685
Provider Name
Alysse Lynette Kelly
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
149 S Main St, Phoenix, OR, 97535-1257
Phone Number
541-535-4133
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider Business Mailing Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
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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