Individual provider · Type 1 NPI
Titan Colby Marval, CRM, PSSAD
Peer Specialist · Grants Pass, OR
NPI number
1922654201
Active
Practice location
109 N.e. Menzanita Avenue
Grants Pass, OR 97526-1400
Fax (541) 471-2679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 19-CRM-084 (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 1922654201
Titan Colby Marval, CRM, PSSAD's National Provider Identifier is 1922654201, issued on Aug 13, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 13, 2019.