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Ken Mubeen, AAC,CPC
Peer Specialist in Longview, Washington
NPI 1104497122

Ken Mubeen is a Peer Specialist based in Longview, WA. Ken Mubeen practices in Longview, WA and has the professional credentials of AAC,CPC. The NPI Number for Ken Mubeen is 1104497122 and holds a License No. (Washington).

The current practice location address for Ken Mubeen is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Ave, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104497122
Provider Name
Ken Mubeen
Credential
AAC,CPC
Provider Entity Type
Individual
Gender
Male
Address
748 14Th Ave, Longview, WA, 98632-8455
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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