Individual provider · Type 1 NPI

Zackeria RL Privett, PSS

Peer Specialist · Grants Pass, OR

NPI number 1578359097 Active

Practice location

205 Fruitdale Dr
Grants Pass, OR 97527-5267

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

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.

13 other providers at this address

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About NPI 1578359097

Zackeria RL Privett, PSS's National Provider Identifier is 1578359097, issued on Apr 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Apr 21, 2025.