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Mary Katherine Brook
Peer Specialist in Prineville, Oregon
NPI 1518404078

Mary Katherine Brook is a Peer Specialist based in Prineville, OR. Mary Katherine Brook practices in Prineville, OR. The NPI Number for Mary Katherine Brook is 1518404078 and holds a License No. (Oregon).

The current practice location address for Mary Katherine Brook is 1251 Ne Elm St, Prineville, OR and can be reached out via phone at 541-323-5330. You can also correspond with Mary Katherine Brook through the mailing address at 365 NE COURT ST, PRINEVILLE, OR - 97754-1936 (mailing address contact number: 541-323-5330).

Location: 1251 Ne Elm St, Prineville, OR, 97754-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518404078
Provider Name
Mary Katherine Brook
Credential
Provider Entity Type
Individual
Gender
Female
Address
1251 Ne Elm St, Prineville, OR, 97754-1936
Phone Number
541-323-5330
Fax Number
Provider Enumeration Date
01/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283234 05 OR
institution
Provider Business Practice Location Address Details
Address
1251 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1206
Phone Number
541-323-5330
Fax Number
person
Provider Business Mailing Address Details
Address
1251 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1206
Phone Number
541-323-5330
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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