Individual provider · Type 1 NPI

Amanda Lynn Mock

Peer Specialist · Medford, OR

NPI number 1124750864 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 476-2373 Map

Fax (541) 476-1526

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

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 1124750864

Amanda Lynn Mock's National Provider Identifier is 1124750864, issued on Jun 30, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Jun 30, 2022.