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Matthew Avila, QMHA
Peer Specialist in Grants Pass, Oregon
NPI 1881382133

Matthew Avila is a Peer Specialist based in Grants Pass, OR. Matthew Avila practices in Grants Pass, OR and has the professional credentials of QMHA. The NPI Number for Matthew Avila is 1881382133 and holds a License No. (Oregon).

The current practice location address for Matthew Avila is 707 Ne 6Th St Apt 4, Grants Pass, OR and can be reached out via phone at 541-660-1251.

Location: 707 Ne 6Th St Apt 4, Grants Pass, OR, 97526-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881382133
Provider Name
Matthew Avila
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
707 Ne 6Th St Apt 4, Grants Pass, OR, 97526-1511
Phone Number
541-660-1251
Fax Number
Provider Enumeration Date
04/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 Ne 6Th St Apt 4
City
Grants Pass
State
Oregon
Zip
97526-1511
Phone Number
541-660-1251
Fax Number
person
Provider Business Mailing Address Details
Address
707 Ne 6Th St Apt 4
City
Grants Pass
State
Oregon
Zip
97526-1511
Phone Number
541-660-1251
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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