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Individual

DEBRA LYNN BARRERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 971-0246
(541) 812-8784

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175T00000X
PEER SUPPORT SPECIALIST
OR
Enumeration date
04/18/2007
Last updated
01/31/2019
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