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Nicole Ellen Hollow
Peer Specialist in Salem, Oregon
NPI 1730827460

Nicole Ellen Hollow is a Peer Specialist based in Salem, OR. Nicole Ellen Hollow practices in Salem, OR. The NPI Number for Nicole Ellen Hollow is 1730827460 and holds a License No. (Oregon).

The current practice location address for Nicole Ellen Hollow is 3837 Beverly Ave, Salem, OR and can be reached out via phone at 503-361-2711.

Location: 3837 Beverly Ave, Salem, OR, 97305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730827460
Provider Name
Nicole Ellen Hollow
Credential
Provider Entity Type
Individual
Gender
Female
Address
3837 Beverly Ave, Salem, OR, 97305
Phone Number
503-361-2711
Fax Number
Provider Enumeration Date
05/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3837 Beverly Ave
City
Salem
State
Oregon
Zip
97305
Phone Number
503-361-2711
Fax Number
person
Provider Business Mailing Address Details
Address
3837 Beverly Ave
City
Salem
State
Oregon
Zip
97305
Phone Number
503-361-2711
Fax Number
person
Provider's Taxonomy Details 1
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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