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Michael Darran Shea, QMHA
Peer Specialist in Grants Pass, Oregon
NPI 1770154973

Michael Darran Shea is a Peer Specialist based in Grants Pass, OR. Michael Darran Shea practices in Grants Pass, OR and has the professional credentials of QMHA. The NPI Number for Michael Darran Shea is 1770154973 and holds a License No. (Oregon).

The current practice location address for Michael Darran Shea is 109 Nw Manzanita Ave, Grants Pass, OR and can be reached out via phone at 541-476-2373. You can also correspond with Michael Darran Shea through the mailing address at 1215 SW G ST, GRANTS PASS, OR - 97526-2544 (mailing address contact number: 541-476-2373).

Location: 109 Nw Manzanita Ave, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770154973
Provider Name
Michael Darran Shea
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
109 Nw Manzanita Ave, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175TOOOOOX 05 OR
institution
Provider Business Practice Location Address Details
Address
109 Nw Manzanita Ave
City
Grants Pass
State
Oregon
Zip
97526
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
109 Nw Manzanita Ave
City
Grants Pass
State
Oregon
Zip
97526
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.
(Oregon)
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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