IndividualActive
Jennafer Deidrich, FAMILY PEER SUPPORT
NPI 1891418968 · Peer Specialist · Lakeview, OR
Provider details
- NPI number
- 1891418968
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- FAMILY PEER SUPPORT
- Sex
- Female
- Sole proprietor
- No
- License
- 23-QMHA-R-3371 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Practice location
700 S J St
Lakeview, OR 97630-1623
Phone: (541) 947-6021
Approximate (ZIP-level) locationGet directions
Mailing address
700 S J St
Lakeview, OR 97630-1623
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.