Individual provider · Type 1 NPI

Tony Lee Molitor

Peer Specialist · Roseburg, OR

NPI number 1740998871 Active

Practice location

3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

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 1740998871

Tony Lee Molitor's National Provider Identifier is 1740998871, issued on Nov 8, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Mar 11, 2024.