Individual provider · Type 1 NPI
Chastity Venesa Rutherford, CRM
Peer Specialist · Milton Freewater, OR
NPI number
1689493595
Active
Practice location
707 E Broadway Ave
Milton Freewater, OR 97862-1318
Mailing address
PO Box 469
Heppner, OR 97836-0469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1689493595
Chastity Venesa Rutherford, CRM's National Provider Identifier is 1689493595, issued on Oct 8, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milton Freewater, OR. The record was last updated on Oct 8, 2024.