Kacie M Blanton is a Peer Specialist based in Salem, OR. Kacie M Blanton practices in Salem, OR. The NPI Number for Kacie M Blanton is 1730846445 and holds a License No. (Oregon).
The current practice location address for Kacie M Blanton is 2995 Ryan Dr Se Ste 200, Salem, OR and can be reached out via phone at 503-371-7701.
Location: 2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
Provider Profile Details
NPI Number
1730846445
Provider Name
Kacie M Blanton
Credential
Provider Entity Type
Individual
Gender
Female
Address
2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
Phone Number
503-371-7701
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2995 Ryan Dr Se Ste 200
City
State
Zip
97301-5157
Phone Number
503-371-7701
Fax Number
Provider Business Mailing Address Details
Address
2995 Ryan Dr Se Ste 200
City
State
Zip
97301-5157
Phone Number
503-371-7701
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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