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Titan Colby Marval, CRM,PSSAD
Peer Specialist in Grants Pass, Oregon
NPI 1922654201

Titan Colby Marval is a Peer Specialist based in Grants Pass, OR. Titan Colby Marval practices in Grants Pass, OR and has the professional credentials of CRM,PSSAD. The NPI Number for Titan Colby Marval is 1922654201 and holds a License No. 19-CRM-084 (Oregon).

The current practice location address for Titan Colby Marval is 109 N.e. Menzanita Avenue, Grants Pass, OR and can be reached out via phone at 541-479-8847 and via fax at 541-471-2679.

Location: 109 N.e. Menzanita Avenue, Grants Pass, OR, 97526-1400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922654201
Provider Name
Titan Colby Marval
Credential
CRM,PSSAD
Provider Entity Type
Individual
Gender
Male
Address
109 N.e. Menzanita Avenue, Grants Pass, OR, 97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
Provider Enumeration Date
08/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19-CRM-084 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
109 N.e. Menzanita Avenue
City
Grants Pass
State
Oregon
Zip
97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
person
Provider Business Mailing Address Details
Address
109 N.e. Menzanita Avenue
City
Grants Pass
State
Oregon
Zip
97526-1400
Phone Number
541-479-8847
Fax Number
541-471-2679
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19-CRM-084 (Oregon)
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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