Individual provider · Type 1 NPI

Jenny Renee Wilder de la Rosa, CRM PSS

Peer Specialist · Klamath Falls, OR

NPI number 1093468068 Active

Practice location

3206 Onyx Ave
Klamath Falls, OR 97603-7279

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

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About NPI 1093468068

Jenny Renee Wilder de la Rosa, CRM PSS's National Provider Identifier is 1093468068, issued on Jan 31, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Jan 31, 2022.