Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNAFER ROSE DEIDRICH, FAMILY PEER SUPPORT
ActiveJENNAFER ROSE DEIDRICH, FAMILY PEER SUPPORT is a Peer Specialist healthcare provider located in LAKEVIEW, Oregon. NPI 1891418968 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LAKEVIEW, OR
Registration Details
- NPI Number
- 1891418968
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2022 (3.7092353198534 yrs)
- Last Updated
- Mar 13, 2023
- Licenses
-
23-QMHA-R-3371 (OR)107865 (OR)
Practice Information
- Address
-
700 S J STLAKEVIEW, OR, 976301623Browse OR providers · Browse ZIP 97630
- Phone
- 5419476021
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in LAKEVIEW, OR
| Name | Credential | NPI |
|---|---|---|
| MR. STUART BRYAN STEWART | PEER SUPPORT SPECIAL | 1659878130 |
| TERESA ANN BEDNAR | — | 1114484243 |
| RONALD SCOTT HILLARD | — | 1801438569 |
| MELODY ARMSTRONG | — | 1275290371 |
| MARTY SCOTT PROVOST | — | 1639891914 |
| NICOLE ALICIA FORBES | — | 1275250482 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.