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Jeromy Allen Willden
Peer Specialist in Bend, Oregon
NPI 1740931617

Jeromy Allen Willden is a Peer Specialist based in Bend, OR. Jeromy Allen Willden practices in Bend, OR. The NPI Number for Jeromy Allen Willden is 1740931617 and holds a License No. (Oregon).

The current practice location address for Jeromy Allen Willden is 2577 Ne Courtney Drive,, Bend, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.

Location: 2577 Ne Courtney Drive,, Bend, OR, 97701-7638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740931617
Provider Name
Jeromy Allen Willden
Credential
Provider Entity Type
Individual
Gender
Male
Address
2577 Ne Courtney Drive,, Bend, OR, 97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2577 Ne Courtney Drive,
City
Bend
State
Oregon
Zip
97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
2577 Ne Courtney Drive,
City
Bend
State
Oregon
Zip
97701-7638
Phone Number
541-322-7500
Fax Number
541-322-7565
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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