Mr. Anthony L Wilson, CRM - Coos Bay, OR

Mr. Anthony L Wilson, CRM

Peer Specialist in Coos Bay, Oregon

NPI 1396201216

Anthony L Wilson is a Peer Specialist based in North Bend, OR. Anthony L Wilson practices in Coos Bay, OR and has the professional credentials of CRM. The NPI Number for Anthony L Wilson is 1396201216 and holds a License No. 19-CRM-044 (Oregon).

The current practice location address for Anthony L Wilson is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-256-4686.

Location: 155 S Empire Blvd, Coos Bay, OR, 97459-3416

NPI Number

1396201216

Provider Name

Anthony L Wilson

Credential

CRM

Provider Entity Type

Individual

Gender

Male

Address

155 S Empire Blvd, Coos Bay, OR, 97459-3416

Phone Number

541-256-4686

Fax Number

Provider Enumeration Date

02/15/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
19-CRM-044	01	OR	MHACBO

Address

155 S Empire Blvd

City

Coos Bay

State

Oregon

Zip

97420-3374

Phone Number

541-256-4686

Fax Number

Address

155 S Empire Blvd

City

Coos Bay

State

Oregon

Zip

97420-3374

Phone Number

541-256-4686

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

19-CRM-044 (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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