Individual provider · Type 1 NPI

Shantill Lynn Moody

Peer Specialist · The Dalles, OR

NPI number 1245990381 Active

Practice location

1060 Webber St
The Dalles, OR 97058-3749

Mailing address

1211 Murray Dr W
The Dalles, OR 97058-4610

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 1245990381

Shantill Lynn Moody's National Provider Identifier is 1245990381, issued on Dec 29, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in The Dalles, OR. The record was last updated on Dec 29, 2021.