Ethan Demiller is a Peer Specialist based in Greeley, CO. Ethan Demiller practices in Greeley, CO. The NPI Number for Ethan Demiller is 1659007748 and holds a License No. (Colorado).
The current practice location address for Ethan Demiller is 928 12Th St, Greeley, CO and can be reached out via phone at 970-347-2120.
Location: 928 12Th St, Greeley, CO, 80631-9584
Provider Profile Details
NPI Number
1659007748
Provider Name
Ethan Demiller
Credential
Provider Entity Type
Individual
Gender
Male
Address
928 12Th St, Greeley, CO, 80631-9584
Phone Number
970-347-2120
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
928 12Th St
City
State
Zip
80631-4024
Phone Number
970-347-2120
Fax Number
Provider Business Mailing Address Details
Address
928 12Th St
City
State
Zip
80631-4024
Phone Number
970-347-2120
Fax Number
Provider's Taxonomy Details 1
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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