Individual provider · Type 1 NPI

Deserie Bonnie Kelley

Peer Specialist · Missoula, MT

NPI number 1942098652 Active

Practice location

2210 Mullan Rd
Missoula, MT 59808-2059

Call (406) 493-7041 Map

Mailing address

401 Railroad St W
Missoula, MT 59802-4178

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XBBH-BHPS-CRT-78905 (MT)

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 1942098652

Deserie Bonnie Kelley's National Provider Identifier is 1942098652, issued on Apr 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Missoula, MT. The record was last updated on Apr 30, 2025.