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Desiree Janet Mourning, CRM
Peer Specialist in Grants Pass, Oregon
NPI 1740031418

Desiree Janet Mourning is a Peer Specialist based in Grants Pass, OR. Desiree Janet Mourning practices in Grants Pass, OR and has the professional credentials of CRM. The NPI Number for Desiree Janet Mourning is 1740031418 and holds a License No. (Oregon).

The current practice location address for Desiree Janet Mourning is 205 Fruitdale Dr, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 205 Fruitdale Dr, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740031418
Provider Name
Desiree Janet Mourning
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
205 Fruitdale Dr, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
205 Fruitdale Dr
City
Grants Pass
State
Oregon
Zip
97527-5267
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
205 Fruitdale Dr
City
Grants Pass
State
Oregon
Zip
97527-5267
Phone Number
541-476-2373
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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