person
Karla Ayde Dominguez, PEERSUPPORT
Peer Specialist in Boardman, Oregon
NPI 1740044395

Karla Ayde Dominguez is a Peer Specialist based in Heppner, OR. Karla Ayde Dominguez practices in Boardman, OR and has the professional credentials of PEERSUPPORT. The NPI Number for Karla Ayde Dominguez is 1740044395 and holds a License No. (Oregon).

The current practice location address for Karla Ayde Dominguez is 104 Sw Kinkade Rd, Boardman, OR and can be reached out via phone at 541-481-2911 and via fax at 541-481-2006.

Location: 104 Sw Kinkade Rd, Boardman, OR, 97836-0469
person
Provider Profile Details
NPI Number
1740044395
Provider Name
Karla Ayde Dominguez
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Female
Address
104 Sw Kinkade Rd, Boardman, OR, 97836-0469
Phone Number
541-481-2911
Fax Number
541-481-2006
Provider Enumeration Date
02/13/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
104 Sw Kinkade Rd
City
State
Zip
97818
Phone Number
541-481-2911
Fax Number
541-481-2006
person
Provider Business Mailing Address Details
Address
104 Sw Kinkade Rd
City
State
Zip
97818
Phone Number
541-481-2911
Fax Number
541-481-2006
person
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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