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Johnathan Mccormick
Peer Specialist in Eugene, Oregon
NPI 1801659065

Johnathan Mccormick is a Peer Specialist based in Eugene, OR. Johnathan Mccormick practices in Eugene, OR. The NPI Number for Johnathan Mccormick is 1801659065 and holds a License No. (Oregon).

The current practice location address for Johnathan Mccormick is 1040 Oak St, Eugene, OR and can be reached out via phone at 541-342-6987 and via fax at 541-687-9279.

Location: 1040 Oak St, Eugene, OR, 97401-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801659065
Provider Name
Johnathan Mccormick
Credential
Provider Entity Type
Individual
Gender
Male
Address
1040 Oak St, Eugene, OR, 97401-7900
Phone Number
541-342-6987
Fax Number
541-687-9279
Provider Enumeration Date
01/31/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1040 Oak St
City
Eugene
State
Oregon
Zip
97401-3132
Phone Number
541-342-6987
Fax Number
541-687-9279
person
Provider Business Mailing Address Details
Address
1040 Oak St
City
Eugene
State
Oregon
Zip
97401-3132
Phone Number
541-342-6987
Fax Number
541-687-9279
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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