Individual provider · Type 1 NPI

Brook Adale Witty

Peer Specialist · Enterprise, OR

NPI number 1508673260 Active

Practice location

606 Medical Pkwy
Enterprise, OR 97828-5140

Mailing address

62264 Ski Run Rd
Joseph, OR 97846-8209

Specialties and licenses

TaxonomyCodeLicense
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 1508673260

Brook Adale Witty's National Provider Identifier is 1508673260, issued on Dec 16, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Enterprise, OR. The record was last updated on Dec 16, 2024.