person
Marissa L Illingworth, CRMPSS
Peer Specialist in Salem, Oregon
NPI 1467152413

Marissa L Illingworth is a Peer Specialist based in Keizer, OR. Marissa L Illingworth practices in Salem, OR and has the professional credentials of CRMPSS. The NPI Number for Marissa L Illingworth is 1467152413 and holds a License No. 22-CRM--1462 (Oregon).

The current practice location address for Marissa L Illingworth is 2045 Silverton Rd Ne, Salem, OR and can be reached out via phone at 503-576-4660 and via fax at 503-361-2688.

Location: 2045 Silverton Rd Ne, Salem, OR, 97303-7619
person
Provider Profile Details
NPI Number
1467152413
Provider Name
Marissa L Illingworth
Credential
CRMPSS
Provider Entity Type
Individual
Gender
Female
Address
2045 Silverton Rd Ne, Salem, OR, 97303-7619
Phone Number
503-576-4660
Fax Number
503-361-2688
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2045 Silverton Rd Ne
City
State
Zip
97301-0100
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider Business Mailing Address Details
Address
2045 Silverton Rd Ne
City
State
Zip
97301-0100
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
22-CRM--1462 (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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