THERESA KEYS CRM, PWS - NPI 1508588112 - Peer Specialist in Coos Bay, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Theresa Keys Crm, Pws NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA KEYS CRM, PWS (NPI 1508588112) is an individual peer specialist in Coos Bay, Oregon, licensed in Oregon (21-CRM-705) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1508588112

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTHERESA KEYSCredential: CRM, PWS

Location Address1741 NEWMARK AVECoos Bay, OR 97420-4704

Mailing Address155 S Empire BlvdCoos Bay, OR 97420-3374 · (541) 622-0066

Phone(541) 622-0066

Sole ProprietorNo

Enumeration DateSeptember 12, 2022

NPPES CertifiedSeptember 12, 2022

✔ NPI 1508588112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 21-CRM-705

Definition

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.

1741 NEWMARK AVE, Coos Bay, OR 97420

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