Individual provider · Type 1 NPI

Indica L. Lozada

Peer Specialist · Roseburg, OR

NPI number 1710729637 Active

Practice location

3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609

Call (541) 673-3469 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1710729637

Indica L. Lozada's National Provider Identifier is 1710729637, issued on Jun 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Jun 11, 2024.