Individual provider · Type 1 NPI

Stacey Earnest

Peer Specialist · Grants Pass, OR

NPI number 1518329622 Active

Practice location

806 NW 6th St
Grants Pass, OR 97526

Fax (541) 734-2410

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone 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 1518329622

Stacey Earnest's National Provider Identifier is 1518329622, issued on Mar 28, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 9, 2018.