Individual provider · Type 1 NPI

John Rose

Peer Specialist · Pueblo, CO

NPI number 1689112211 Active

Practice location

1310 Chinook Ln
Pueblo, CO 81001-1851

Fax (719) 584-0110

Mailing address

41 Montebello Rd, Suite 200
Pueblo, CO 81001-1379

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 1689112211

John Rose's National Provider Identifier is 1689112211, issued on Feb 2, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pueblo, CO. The record was last updated on Feb 2, 2017.