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Julio Cohetzaltitla JR.
Peer Specialist in Madras, Oregon
NPI 1891551412

Julio Cohetzaltitla JR. is a Peer Specialist based in Redmond, OR. Julio Cohetzaltitla JR. practices in Madras, OR. The NPI Number for Julio Cohetzaltitla JR. is 1891551412 and holds a License No. (Oregon).

The current practice location address for Julio Cohetzaltitla JR. is 850 Sw 4Th St Ste 201, Madras, OR and can be reached out via phone at 541-475-4822.

Location: 850 Sw 4Th St Ste 201, Madras, OR, 97756-0516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891551412
Provider Name
Julio Cohetzaltitla JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
850 Sw 4Th St Ste 201, Madras, OR, 97756-0516
Phone Number
541-475-4822
Fax Number
Provider Enumeration Date
02/21/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
850 Sw 4Th St Ste 201
City
Madras
State
Oregon
Zip
97741-9629
Phone Number
541-475-4822
Fax Number
person
Provider Business Mailing Address Details
Address
850 Sw 4Th St Ste 201
City
Madras
State
Oregon
Zip
97741-9629
Phone Number
541-475-4822
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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