Individual provider · Type 1 NPI
Jeromy Allen Willden
Peer Specialist · Bend, OR
NPI number
1740931617
Active
Practice location
2577 NE Courtney Drive,
Bend, OR 97701-7638
Fax (541) 322-7565
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.
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About NPI 1740931617
Jeromy Allen Willden's National Provider Identifier is 1740931617, issued on Jan 12, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Jan 12, 2022.