Individual provider · Type 1 NPI

Nicole Adelle Lane, PSS

Peer Specialist · Eugene, OR

NPI number 1366964041 Active

Practice location

261 E 12th Ave
Eugene, OR 97401-3208

Call (541) 342-8437 Map

Fax (541) 242-2999

Mailing address

1258 High St
Eugene, OR 97401-3238

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW0001929 (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 1366964041

Nicole Adelle Lane, PSS's National Provider Identifier is 1366964041, issued on Jul 13, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eugene, OR. The record was last updated on Nov 7, 2024.