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Michael Sketch, CGACII,CGRM
Peer Specialist in Salem, Oregon
NPI 1699338681

Michael Sketch is a Peer Specialist based in Salem, OR. Michael Sketch practices in Salem, OR and has the professional credentials of CGACII,CGRM. The NPI Number for Michael Sketch is 1699338681 and holds a License No. G171102 (Oregon).

The current practice location address for Michael Sketch is 3325 Harold Dr Ne, Salem, OR and can be reached out via phone at 503-363-2021.

Location: 3325 Harold Dr Ne, Salem, OR, 97305-7818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699338681
Provider Name
Michael Sketch
Credential
CGACII,CGRM
Provider Entity Type
Individual
Gender
Male
Address
3325 Harold Dr Ne, Salem, OR, 97305-7818
Phone Number
503-363-2021
Fax Number
Provider Enumeration Date
04/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3325 Harold Dr Ne
City
Salem
State
Oregon
Zip
97305-1339
Phone Number
503-363-2021
Fax Number
person
Provider Business Mailing Address Details
Address
3325 Harold Dr Ne
City
Salem
State
Oregon
Zip
97305-1339
Phone Number
503-363-2021
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15CGRM001 (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
G171102 (Oregon)
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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