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Jacob Thomas Baty
Peer Specialist in Spokane, Washington
NPI 1104492966

Jacob Thomas Baty is a Peer Specialist based in Spokane, WA. Jacob Thomas Baty practices in Spokane, WA. The NPI Number for Jacob Thomas Baty is 1104492966 and holds a License No. CG61186769 (Washington).

The current practice location address for Jacob Thomas Baty is 3754 W Indian Trail Rd, Spokane, WA and can be reached out via phone at 509-559-3100.

Location: 3754 W Indian Trail Rd, Spokane, WA, 99208-4736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104492966
Provider Name
Jacob Thomas Baty
Credential
Provider Entity Type
Individual
Gender
Male
Address
3754 W Indian Trail Rd, Spokane, WA, 99208-4736
Phone Number
509-559-3100
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3754 W Indian Trail Rd
City
Spokane
State
Washington
Zip
99208-4736
Phone Number
509-559-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3754 W Indian Trail Rd
City
Spokane
State
Washington
Zip
99208-4736
Phone Number
509-559-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61186769 (Washington)
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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