Individual provider · Type 1 NPI

Tara Lee Fetterly, QMHA

Peer Specialist · Prineville, OR

NPI number 1790222487 Active

Practice location

1251 NE Elm St
Prineville, OR 97754-1206

Call (541) 323-5330 Map

Fax (541) 447-4418

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 1790222487

Tara Lee Fetterly, QMHA's National Provider Identifier is 1790222487, issued on Jan 19, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Prineville, OR. The record was last updated on Jan 19, 2017.