Individual provider · Type 1 NPI
Summer Dawn Tolman, PEER SUPPORT SPECIAL
Peer Specialist · Sweethome, OR
NPI number
1205657970
Active
Practice location
1450 24th Avenue
Sweethome, OR 97368
Mailing address
2645 Birch St
Lebanon, OR 97355-2309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 22-CRM1386 (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.
About NPI 1205657970
Summer Dawn Tolman, PEER SUPPORT SPECIAL's National Provider Identifier is 1205657970, issued on Oct 24, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sweethome, OR. The record was last updated on Oct 24, 2024.