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Shanna Nicole Smith, CRM,PWS
Peer Specialist in Coos Bay, Oregon
NPI 1871205708

Shanna Nicole Smith is a Peer Specialist based in Coos Bay, OR. Shanna Nicole Smith practices in Coos Bay, OR and has the professional credentials of CRM,PWS. The NPI Number for Shanna Nicole Smith is 1871205708 and holds a License No. (Oregon).

The current practice location address for Shanna Nicole Smith is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-256-4635.

Location: 155 S Empire Blvd, Coos Bay, OR, 97420-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871205708
Provider Name
Shanna Nicole Smith
Credential
CRM,PWS
Provider Entity Type
Individual
Gender
Female
Address
155 S Empire Blvd, Coos Bay, OR, 97420-3374
Phone Number
541-256-4635
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000107728 01 OR TRADITIONAL HEALTHCARE WORKER
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-256-4635
Fax Number
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-256-4635
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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