Individual provider · Type 1 NPI
Terry Goldsworthy, PEER SUPPORT
Peer Specialist · Roseburg, OR
NPI number
1376996140
Active
Practice location
1600 NW Garden Valley Blvd, Suite 110
Roseburg, OR 97471-8700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Another provider at this address
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About NPI 1376996140
Terry Goldsworthy, PEER SUPPORT's National Provider Identifier is 1376996140, issued on Jul 18, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Jul 18, 2016.