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Mr. Jake Daniel Harold
Peer Specialist in Mcminnville, Oregon
NPI 1710416268

Jake Daniel Harold is a Peer Specialist based in Portland, OR. Jake Daniel Harold practices in Mcminnville, OR. The NPI Number for Jake Daniel Harold is 1710416268 and holds a License No. (Oregon).

The current practice location address for Jake Daniel Harold is 625 Ne Galloway St, Mcminnville, OR and can be reached out via phone at 503-474-6816 and via fax at 503-474-7426. You can also correspond with Jake Daniel Harold through the mailing address at 3945 SW 96TH AVE, PORTLAND, OR - 97225-2520 (mailing address contact number: 951-870-9910).

Location: 625 Ne Galloway St, Mcminnville, OR, 97225-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710416268
Provider Name
Jake Daniel Harold
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Ne Galloway St, Mcminnville, OR, 97225-2520
Phone Number
503-474-6816
Fax Number
503-474-7426
Provider Enumeration Date
06/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Ne Galloway St
City
Mcminnville
State
Oregon
Zip
97128-3933
Phone Number
503-474-6816
Fax Number
503-474-7426
person
Provider Business Mailing Address Details
Address
625 Ne Galloway St
City
Mcminnville
State
Oregon
Zip
97128-3933
Phone Number
503-474-6816
Fax Number
503-474-7426
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
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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