person
Shannon Kathleen Pugerude, MS,QMHP
Peer Specialist in Bend, Oregon
NPI 1528597382

Shannon Kathleen Pugerude is a Peer Specialist based in Springfield, OR. Shannon Kathleen Pugerude practices in Bend, OR and has the professional credentials of MS,QMHP. The NPI Number for Shannon Kathleen Pugerude is 1528597382 and holds a License No. (Oregon).

The current practice location address for Shannon Kathleen Pugerude is 1195 Nw Wall St, Bend, OR and can be reached out via phone at 541-728-0062 and via fax at 541-306-6733.

Location: 1195 Nw Wall St, Bend, OR, 97477-7948
person
Provider Profile Details
NPI Number
1528597382
Provider Name
Shannon Kathleen Pugerude
Credential
MS,QMHP
Provider Entity Type
Individual
Gender
Female
Address
1195 Nw Wall St, Bend, OR, 97477-7948
Phone Number
541-728-0062
Fax Number
541-306-6733
Provider Enumeration Date
06/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1195 Nw Wall St
City
State
Zip
97703-1965
Phone Number
541-728-0062
Fax Number
541-306-6733
person
Provider Business Mailing Address Details
Address
1195 Nw Wall St
City
State
Zip
97703-1965
Phone Number
541-728-0062
Fax Number
541-306-6733
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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