Individual provider · Type 1 NPI

Necola Henderson

Peer Specialist · Portland, OR

NPI number 1801339734 Active

Practice location

3311 NE Martin Luther King Jr Blvd
Portland, OR 97212-2086

Call (503) 676-3710 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X11-CRM-118 (OR)

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 1801339734

Necola Henderson's National Provider Identifier is 1801339734, issued on Nov 26, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Nov 26, 2016.