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Carolyn Neville
Peer Specialist in Medford, Oregon
NPI 1679850788

Carolyn Neville is a Peer Specialist based in Grants Pass, OR. Carolyn Neville practices in Medford, OR. The NPI Number for Carolyn Neville is 1679850788 and holds a License No. (Oregon).

The current practice location address for Carolyn Neville is 1175 East Main Street, Medford, OR and can be reached out via phone at 541-772-2209 and via fax at 541-772-0966.

Location: 1175 East Main Street, Medford, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679850788
Provider Name
Carolyn Neville
Credential
Provider Entity Type
Individual
Gender
Female
Address
1175 East Main Street, Medford, OR, 97527-5500
Phone Number
541-772-2209
Fax Number
541-772-0966
Provider Enumeration Date
11/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1175 East Main Street
City
Medford
State
Oregon
Zip
97504
Phone Number
541-772-2209
Fax Number
541-772-0966
person
Provider Business Mailing Address Details
Address
1175 East Main Street
City
Medford
State
Oregon
Zip
97504
Phone Number
541-772-2209
Fax Number
541-772-0966
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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