Individual provider · Type 1 NPI

Julio Cohetzaltitla Jr.

Peer Specialist · Madras, OR

NPI number 1891551412 Active

Practice location

850 SW 4th St Ste 201
Madras, OR 97741-9629

Mailing address

PO Box 1710
Redmond, OR 97756-0516

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 1891551412

Julio Cohetzaltitla Jr.'s National Provider Identifier is 1891551412, issued on Feb 21, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madras, OR. The record was last updated on Feb 21, 2024.