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Lisett Carolina Pena
Peer Specialist in Cathlamet, Washington
NPI 1104543420

Lisett Carolina Pena is a Peer Specialist based in Cathlamet, WA. Lisett Carolina Pena practices in Cathlamet, WA. The NPI Number for Lisett Carolina Pena is 1104543420 and holds a License No. (Washington).

The current practice location address for Lisett Carolina Pena is 427 Columbia St, Cathlamet, WA and can be reached out via phone at 564-201-0104.

Location: 427 Columbia St, Cathlamet, WA, 98612-9531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104543420
Provider Name
Lisett Carolina Pena
Credential
Provider Entity Type
Individual
Gender
Female
Address
427 Columbia St, Cathlamet, WA, 98612-9531
Phone Number
564-201-0104
Fax Number
Provider Enumeration Date
10/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
427 Columbia St
City
Cathlamet
State
Washington
Zip
98612-9566
Phone Number
564-201-0104
Fax Number
person
Provider Business Mailing Address Details
Address
427 Columbia St
City
Cathlamet
State
Washington
Zip
98612-9566
Phone Number
564-201-0104
Fax Number
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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