Individual provider · Type 1 NPI

Ethan Demiller

Peer Specialist · Greeley, CO

NPI number 1659007748 Active

Practice location

928 12th St
Greeley, CO 80631-4024

Call (970) 347-2120 Map

Mailing address

1300 N 17th Ave
Greeley, CO 80631-9584

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 1659007748

Ethan Demiller's National Provider Identifier is 1659007748, issued on Jul 29, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greeley, CO. The record was last updated on Jul 29, 2022.