Individual provider · Type 1 NPI

Traci Diane Hamilton

Peer Specialist · Grand Ronde, OR

NPI number 1679056436 Active

Practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-23-2637 (OR)
Mental Health Counselor 101YM0800X24-QMHA-I-004507 (OR)
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 1679056436

Traci Diane Hamilton's National Provider Identifier is 1679056436, issued on Sep 7, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Ronde, OR. The record was last updated on Jul 24, 2024.