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Alisha I Leith, CRM
Peer Specialist in Prineville, Oregon
NPI 1700542313

Alisha I Leith is a Peer Specialist based in Prineville, OR. Alisha I Leith practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Alisha I Leith is 1700542313 and holds a License No. 21-CRM-695 (Oregon).

The current practice location address for Alisha I Leith is 130 S Main St, Prineville, OR and can be reached out via phone at 541-350-9366. You can also correspond with Alisha I Leith through the mailing address at 130 S MAIN ST, PRINEVILLE, OR - 97754-2744 (mailing address contact number: 541-350-9366).

Location: 130 S Main St, Prineville, OR, 97754-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700542313
Provider Name
Alisha I Leith
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
130 S Main St, Prineville, OR, 97754-2744
Phone Number
541-350-9366
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-CRM-695 01 OR CRM LICENSURE
institution
Provider Business Practice Location Address Details
Address
130 S Main St
City
Prineville
State
Oregon
Zip
97754-2744
Phone Number
541-350-9366
Fax Number
person
Provider Business Mailing Address Details
Address
130 S Main St
City
Prineville
State
Oregon
Zip
97754-2744
Phone Number
541-350-9366
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-695 (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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