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Desiree Renee Deroche
Peer Specialist in Lakeview, Oregon
NPI 1538847934

Desiree Renee Deroche is a Peer Specialist based in Lakeview, OR. Desiree Renee Deroche practices in Lakeview, OR. The NPI Number for Desiree Renee Deroche is 1538847934 and holds a License No. (Oregon).

The current practice location address for Desiree Renee Deroche is 215 N G St, Lakeview, OR and can be reached out via phone at 541-947-6021.

Location: 215 N G St, Lakeview, OR, 97630-1417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538847934
Provider Name
Desiree Renee Deroche
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 N G St, Lakeview, OR, 97630-1417
Phone Number
541-947-6021
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 N G St
City
Lakeview
State
Oregon
Zip
97630-1417
Phone Number
541-947-6021
Fax Number
person
Provider Business Mailing Address Details
Address
215 N G St
City
Lakeview
State
Oregon
Zip
97630-1417
Phone Number
541-947-6021
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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