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Banji Hazelle Bottcher, CPC
Peer Specialist in Puyallup, Washington
NPI 1124506399

Banji Hazelle Bottcher is a Peer Specialist based in Puyallup, WA. Banji Hazelle Bottcher practices in Puyallup, WA and has the professional credentials of CPC. The NPI Number for Banji Hazelle Bottcher is 1124506399 and holds a License No. CG60474886 (Washington).

The current practice location address for Banji Hazelle Bottcher is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-697-8400 and via fax at 253-697-3730.

Location: 325 E Pioneer, Puyallup, WA, 98372-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124506399
Provider Name
Banji Hazelle Bottcher
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
325 E Pioneer, Puyallup, WA, 98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60474886 (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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