Individual provider · Type 1 NPI

Carmen Dolores Wilson

Peer Specialist · Mcminnville, OR

NPI number 1639848013 Active

Practice location

433 NE 17th St Apt 7
Mcminnville, OR 97128-3303

Call (714) 812-3992 Map

Mailing address

627 NE Evans St
Mcminnville, OR 97128-3923

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Counselor 101Y00000XNone 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 1639848013

Carmen Dolores Wilson's National Provider Identifier is 1639848013, issued on Sep 9, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcminnville, OR. The record was last updated on Jul 26, 2022.