person
River-jeanette Monique Ezeoke, CPRS
Peer Specialist in Stillwater, Minnesota
NPI 1780380634

River-jeanette Monique Ezeoke is a Peer Specialist based in Willernie, MN. River-jeanette Monique Ezeoke practices in Stillwater, MN and has the professional credentials of CPRS. The NPI Number for River-jeanette Monique Ezeoke is 1780380634 and holds a License No. 8661 (Minnesota).

The current practice location address for River-jeanette Monique Ezeoke is 2511 Croixwood Blvd, Stillwater, MN and can be reached out via phone at 612-601-4549.

Location: 2511 Croixwood Blvd, Stillwater, MN, 55090-0343
person
Provider Profile Details
NPI Number
1780380634
Provider Name
River-jeanette Monique Ezeoke
Credential
CPRS
Provider Entity Type
Individual
Gender
Female
Address
2511 Croixwood Blvd, Stillwater, MN, 55090-0343
Phone Number
612-601-4549
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2511 Croixwood Blvd
City
State
Zip
55082
Phone Number
612-601-4549
Fax Number
person
Provider Business Mailing Address Details
Address
2511 Croixwood Blvd
City
State
Zip
55082
Phone Number
612-601-4549
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
8661 (Minnesota)
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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