Individual provider · Type 1 NPI

Kenneth Maben

Peer Specialist · Salem, OR

NPI number 1780046607 Active

Practice location

1599 State St
Salem, OR 97301-4255

Call (503) 363-3260 Map

Fax (503) 585-0491

Specialties and licenses

TaxonomyCodeLicense
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 1780046607

Kenneth Maben's National Provider Identifier is 1780046607, issued on Mar 22, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Mar 22, 2016.