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Jonna Robertsen
Peer Specialist in Shady Cove, Oregon
NPI 1790452589

Jonna Robertsen is a Peer Specialist based in Shady Cove, OR. Jonna Robertsen practices in Shady Cove, OR. The NPI Number for Jonna Robertsen is 1790452589 and holds a License No. 23-QMHA-R-3993 (Oregon).

The current practice location address for Jonna Robertsen is 23633 Highway 62 Apt 1, Shady Cove, OR and can be reached out via phone at 541-778-3611.

Location: 23633 Highway 62 Apt 1, Shady Cove, OR, 97539-7706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790452589
Provider Name
Jonna Robertsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
23633 Highway 62 Apt 1, Shady Cove, OR, 97539-7706
Phone Number
541-778-3611
Fax Number
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23633 Highway 62 Apt 1
City
Shady Cove
State
Oregon
Zip
97539-7706
Phone Number
541-778-3611
Fax Number
person
Provider Business Mailing Address Details
Address
23633 Highway 62 Apt 1
City
Shady Cove
State
Oregon
Zip
97539-7706
Phone Number
541-778-3611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-QMHA-R-3993 (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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