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Autumn Joy Ogle, PSS,CRM,CADC-R
Peer Specialist in Cottage Grove, Oregon
NPI 1720830763

Autumn Joy Ogle is a Peer Specialist based in Cottage Grove, OR. Autumn Joy Ogle practices in Cottage Grove, OR and has the professional credentials of PSS,CRM,CADC-R. The NPI Number for Autumn Joy Ogle is 1720830763 and holds a License No. 109502 (Oregon).

The current practice location address for Autumn Joy Ogle is 75 S 5Th St, Cottage Grove, OR and can be reached out via phone at 541-767-4260.

Location: 75 S 5Th St, Cottage Grove, OR, 97424-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720830763
Provider Name
Autumn Joy Ogle
Credential
PSS,CRM,CADC-R
Provider Entity Type
Individual
Gender
Female
Address
75 S 5Th St, Cottage Grove, OR, 97424-2405
Phone Number
541-767-4260
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
75 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2008
Phone Number
541-767-4260
Fax Number
person
Provider Business Mailing Address Details
Address
75 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2008
Phone Number
541-767-4260
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
109502 (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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