Organization
NEURODIVERGENT PEER SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SHEELER (FOUNDER)
(619) 925-1653
Entity
Organization
Contact information
Practice address
1825 SE 50TH AVE APT 107, PORTLAND, OR 97215-3235
(619) 925-1637
Mailing address
1825 SE 50TH AVE APT 107, PORTLAND, OR 97215-3235
(619) 925-1637
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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