Individual provider · Type 1 NPI

Jennafer Rose Deidrich, FAMILY PEER SUPPORT

Peer Specialist · Lakeview, OR

NPI number 1891418968 Active

Practice location

700 S J St
Lakeview, OR 97630-1623

Call (541) 947-6021 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X23-QMHA-R-3371 (OR)
Peer Specialist 175T00000X107865 (OR)
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 1891418968

Jennafer Rose Deidrich, FAMILY PEER SUPPORT's National Provider Identifier is 1891418968, issued on Sep 22, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lakeview, OR. The record was last updated on Mar 13, 2023.