Kindra Dawn Peterson, QMHA
NPI #1295297794 in Enterprise, Oregon
Provider Information
- NPI Number
- 1295297794
- Entity Type
- Individual
- Name
- Kindra Dawn Peterson, QMHA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QMHA
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 700 WALTER STREET SP. 21
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828
- Phone
- (541) 398-1166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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