Individual provider · Type 1 NPI

Leslie Jayne Rose, PEER SPECIALIST

Mental Health Counselor · Grants Pass, OR

NPI number 1669027611 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Call (541) 476-2373 Map

Mailing address

2305 Ashland St Ste C-139
Ashland, OR 97520-3777

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XTHW000003780 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669027611

Leslie Jayne Rose, PEER SPECIALIST's National Provider Identifier is 1669027611, issued on Aug 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 23, 2019.