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Tony Lee Molitor
Peer Specialist in Roseburg, Oregon
NPI 1740998871

Tony Lee Molitor is a Peer Specialist based in Roseburg, OR. Tony Lee Molitor practices in Roseburg, OR. The NPI Number for Tony Lee Molitor is 1740998871 and holds a License No. (Oregon).

The current practice location address for Tony Lee Molitor is 3099 Ne Diamond Lake Blvd, Roseburg, OR and can be reached out via phone at 541-673-3469.

Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740998871
Provider Name
Tony Lee Molitor
Credential
Provider Entity Type
Individual
Gender
Male
Address
3099 Ne Diamond Lake Blvd, Roseburg, OR, 97470-0254
Phone Number
541-673-3469
Fax Number
Provider Enumeration Date
11/08/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3099 Ne Diamond Lake Blvd
City
Roseburg
State
Oregon
Zip
97470-3655
Phone Number
541-673-3469
Fax Number
person
Provider Business Mailing Address Details
Address
3099 Ne Diamond Lake Blvd
City
Roseburg
State
Oregon
Zip
97470-3655
Phone Number
541-673-3469
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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