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Glavis M Wagner
Prevention Professional in Pendleton, Oregon
NPI 1720587553

Glavis M Wagner is a Prevention Professional based in Pendleton, OR. Glavis M Wagner practices in Pendleton, OR. The NPI Number for Glavis M Wagner is 1720587553 and holds a License No. 17-CRM-217 (Oregon).

The current practice location address for Glavis M Wagner is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830.

Location: 46314 Timine Way, Pendleton, OR, 97801-9417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720587553
Provider Name
Glavis M Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
46314 Timine Way, Pendleton, OR, 97801-9417
Phone Number
541-966-9830
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17-CRM-217 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000002415 (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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
17-CRM-217 (Oregon)
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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