Individual provider · Type 1 NPI

Nicole Stuckart

Peer Specialist · Salem, OR

NPI number 1316762529 Active

Practice location

4080 Reed Rd SE Ste 150
Salem, OR 97302-1335

Call (503) 581-1732 Map

Fax (503) 363-4607

Mailing address

4080 Reed Rd SE # ATE150
Salem, OR 97302-1357

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X110255 (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 1316762529

Nicole Stuckart's National Provider Identifier is 1316762529, issued on Nov 21, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Nov 21, 2024.