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Tiawana E Dickerson
Peer Specialist in Omak, Washington
NPI 1003585308

Tiawana E Dickerson is a Peer Specialist based in Omak, WA. Tiawana E Dickerson practices in Omak, WA. The NPI Number for Tiawana E Dickerson is 1003585308 and holds a License No. (Washington).

The current practice location address for Tiawana E Dickerson is 1007 Koala Dr, Omak, WA and can be reached out via phone at 509-826-6191 and via fax at 509-826-3029.

Location: 1007 Koala Dr, Omak, WA, 98841-9247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003585308
Provider Name
Tiawana E Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1007 Koala Dr, Omak, WA, 98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider Business Mailing Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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.
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