Kristina Louise Derksen, PEER SUPPORT

NPI #1376932897 in Bend, Oregon

Provider Information

NPI Number: 1376932897
Entity Type: Individual
Name: Kristina Louise Derksen, PEER SUPPORT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPPORT
Enumeration Date: Jan 21, 2015
Last Updated: Dec 11, 2020

Practice Location

Address: 2577 NE COURTNEY DR
City: Bend
State: Oregon
ZIP Code: 97701-7752
Phone: (541) 322-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Peer Specialist	175T00000X	Primary

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