Individual provider · Type 1 NPI

Kristina Louise Derksen, PEER SUPPORT

Peer Specialist · Bend, OR

NPI number 1376932897 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7752

Call (541) 322-7500 Map

Fax (541) 322-7565

Other practice locations

  • 4422 NE Devils Lake Blvd Ste 2, Lincoln City, OR 97367-5000 · (541) 265-4196

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1376932897

Kristina Louise Derksen, PEER SUPPORT's National Provider Identifier is 1376932897, issued on Jan 21, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Dec 11, 2020.