Individual provider · Type 1 NPI
Mark Montgomery, MPA
Peer Specialist · Cottage Grove, OR
NPI number
1073358636
Active
Practice location
1115 W Main St
Cottage Grove, OR 97424-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: 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.
Another provider at this address
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About NPI 1073358636
Mark Montgomery, MPA's National Provider Identifier is 1073358636, issued on Jun 26, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jun 26, 2024.