Individual provider · Type 1 NPI

Miles Decora

Peer Specialist · Devils Lake, ND

NPI number 1396546099 Active

Practice location

512 4th St NE
Devils Lake, ND 58301-2597

Call (701) 662-6767 Map

Mailing address

414 4th Ave NE
Devils Lake, ND 58301-2458

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1396546099

Miles Decora's National Provider Identifier is 1396546099, issued on Mar 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Devils Lake, ND. The record was last updated on Mar 20, 2025.