Individual provider · Type 1 NPI

Michael Sketch, CGAC II, CGRM

Peer Specialist · Salem, OR

NPI number 1699338681 Active

Practice location

3325 Harold Dr NE
Salem, OR 97305-1339

Call (503) 363-2021 Map

Mailing address

PO Box 17818
Salem, OR 97305-7818

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XG171102 (OR)
Peer Specialist Primary 175T00000X15CGRM001 (OR)

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 1699338681

Michael Sketch, CGAC II, CGRM's National Provider Identifier is 1699338681, issued on Apr 16, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Apr 16, 2019.