Individual provider · Type 1 NPI

Jacob Leroy Crawford

Peer Specialist · Warrenton, OR

NPI number 1720810658 Active

Practice location

65 N Highway 101
Warrenton, OR 97146-9371

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
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 1720810658

Jacob Leroy Crawford's National Provider Identifier is 1720810658, issued on Aug 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Warrenton, OR. The record was last updated on Aug 19, 2024.