Individual provider · Type 1 NPI

Kyla M. McCormick, CRM

Peer Specialist · Grants Pass, OR

NPI number 1205476777 Active

Practice location

109 NW Manzanita Avenue
Grants Pass, OR 97526

Call (541) 479-8847 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X19-CRM-273 (OR)

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 1205476777

Kyla M. McCormick, CRM's National Provider Identifier is 1205476777, issued on Jan 13, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Jan 13, 2020.