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Shannon Lee De Angelis
Peer Specialist in Bend, Oregon
NPI 1851152300

Shannon Lee De Angelis is a Peer Specialist based in Bend, OR. Shannon Lee De Angelis practices in Bend, OR. The NPI Number for Shannon Lee De Angelis is 1851152300 and holds a License No. (Oregon).

The current practice location address for Shannon Lee De Angelis is 548 Sw 13Th St, Bend, OR and can be reached out via phone at 541-388-8459.

Location: 548 Sw 13Th St, Bend, OR, 97703-7069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851152300
Provider Name
Shannon Lee De Angelis
Credential
Provider Entity Type
Individual
Gender
Female
Address
548 Sw 13Th St, Bend, OR, 97703-7069
Phone Number
541-388-8459
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
548 Sw 13Th St
City
Bend
State
Oregon
Zip
97702-3184
Phone Number
541-388-8459
Fax Number
person
Provider Business Mailing Address Details
Address
548 Sw 13Th St
City
Bend
State
Oregon
Zip
97702-3184
Phone Number
541-388-8459
Fax Number
person
Provider's Taxonomy Details 1
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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