Individual provider · Type 1 NPI

Nichole Maddock

Peer Specialist · Klamath Falls, OR

NPI number 1447947783 Active

Practice location

3203 Vandenberg Rd
Klamath Falls, OR 97603-3778

Mailing address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone 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 1447947783

Nichole Maddock's National Provider Identifier is 1447947783, issued on Apr 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Apr 18, 2023.